Active NPI
Parma River LLC
- In Home Supportive Care Agency
- Glendale, AZ
National Provider Identifier
1669916748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PARMA RIVER LLC
- Practice address
- 4425 W Olive Ave Ste 124
Glendale, AZ 85302-3844 - Phone
- (623) 476-7882
- NPI assigned
- Dec 8, 2016
- 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
- Jody L Dolance
- Title
- Owner/Executive Director
- Phone
- (623) 476-7882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4425 W Olive Ave Ste 124
Glendale, AZ 85302-3844
Mailing address
4425 W Olive Ave Ste 124
Glendale, AZ 85302-3844
Phone (623) 476-7882
Other names 1
- Visiting Angels/glendaleaz
National Provider Directory
National Provider DirectoryLocations
4425 W Olive Ave
Ste 124
Glendale, AZ 85302
Phone (623) 476-7882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1669916748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 W OLIVE AVE STE 124",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023844",
"telephone_number": "623-476-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W OLIVE AVE STE 124",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023844",
"telephone_number": "623-476-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARMA RIVER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "DOLANCE",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "623-476-7882"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Angels/glendaleaz",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.