Active NPI
Century Health LLC
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1659646198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CENTURY HEALTH LLC
- Practice address
- 19820 N 7TH Ave
Suite 230-H
Phoenix, AZ 85027-4736 - Phone
- (602) 633-0730
- NPI assigned
- Mar 16, 2012
- Last updated
- Oct 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon James Maxon Maldonado
- Title
- Managing Member
- Phone
- (602) 633-0730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
19820 N 7TH Ave
Suite 230-H
Phoenix, AZ 85027-4736
Mailing address
19820 N 7TH Ave
Suite 230-H
Phoenix, AZ 85027-4736
Phone (602) 633-0730
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350000000000",
"number": "1659646198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19820 N 7TH AVE",
"address_2": "SUITE 230-H",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274736",
"telephone_number": "602-633-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19820 N 7TH AVE",
"address_2": "SUITE 230-H",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274736",
"telephone_number": "602-633-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTURY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-16",
"last_updated": "2012-10-12",
"status": "A",
"authorized_official_last_name": "MAXON MALDONADO",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "602-633-0730",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Centro Medico del Valle PC
- Century Dental Group, PC
- Clara Guadalupe Cepeda, SLP-A
- Robert Michael Cercek Jr., MD
- Tiffany Marie Cerda, BSN RN
- Cerebro Wellness Empowerment Center
- Cheryl Lauren Cericola, SLP-TEMPORARY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.