Arizona Love and Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARIZONA LOVE AND CARE LLC

Practice address

15250 W Pierson St
Goodyear, AZ 85395-7734

Phone

(623) 777-1110

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jarvis Dwayne Berry Sr.NPI 1669004727

Title

Owner

Phone

(623) 570-3723

Specialties & licenses 1

Addresses

Other names 1

• Arizona Love and Care LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jarvis Dwayne Berry Sr.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1669004727
  NPD Authorized official

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1689148512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15250 W PIERSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957734",
            "telephone_number": "623-777-1110",
            "fax_number": "623-921-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15250 W PIERSON ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957734",
            "telephone_number": "623-777-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA LOVE AND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JARVIS",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-570-3723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Love and Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.