Organization Active NPI

Parma River LLC

  • In Home Supportive Care Agency
  • Glendale, AZ
National Provider Identifier
1669916748
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Dec 8, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.