Shaviz Agency LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SHAVIZ AGENCY LLC

Practice address

21 N 1St Ave Ste 100&240
Brighton, CO 80601-1637

Phone

(720) 666-7042

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Avinesh Chand

Title

Director

Phone

(720) 666-7042

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1497404313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16304 E 117TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229878",
            "telephone_number": "720-666-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 1ST AVE STE 100&240",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011637",
            "telephone_number": "720-666-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVIZ AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "CHAND",
        "authorized_official_first_name": "AVINESH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-666-7042"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samyak Shashikant Shah
• Stephan W Shane, D.O.
• Austin Kenneth Sharp
• Jill Sharp, LCSW
• Heidi Lynn Sharpnack, RN
• Shaw Enterprises
• Brian Shaw, OTR/L
• David L Shaw, R.PH.
• Kelsey Branch Sheetz, RD
• Yijun Shen

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brighton, CO
• Providers in Brighton, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.