Advanced Independence

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ADVANCED INDEPENDENCE

Practice address

5313 W Muriel Dr
Glendale, AZ 85308-5356

Phone

(602) 439-7080

Fax

(602) 863-6385

NPI assigned

Oct 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Lynne Moody

Title

Ceo/Diredtor

Phone

(602) 439-7080

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1447401039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W UNION HILLS DR",
            "address_2": "SUITE 7",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081660",
            "telephone_number": "602-439-7080",
            "fax_number": "602-863-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5313 W MURIEL DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085356",
            "telephone_number": "602-439-7080",
            "fax_number": "602-863-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO/DIREDTOR",
        "authorized_official_telephone_number": "602-439-7080"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Glendale, AZ
• Developmentally Disabled Services Day Training Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.