Organization Active NPI

Arizona Visiting Nurses Inc.

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1730469131
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA 5444 Issued in AZ
Legal business name
ARIZONA VISITING NURSES INC.
Practice address
2659 W Guadalupe Rd
D-108
Mesa, AZ 85202-7254
Phone
(480) 820-0000
Fax
(480) 775-6565
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Andre Jon Martell
Title
President
Phone
(480) 313-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA 5444 AZ Primary
Home Infusion Agency 251F00000X PENDING AZ

Addresses

Primary practice location

2659 W Guadalupe Rd
D-108
Mesa, AZ 85202-7254

Mailing address

2659 W Guadalupe Rd
D-108
Mesa, AZ 85202-7254
Phone (480) 820-0000

National Provider Directory

National Provider Directory

Locations

2659 W Guadalupe Rd
#D108
Mesa, AZ 85202
Phone (480) 820-0000

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1730469131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 W GUADALUPE RD",
            "address_2": "D-108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027254",
            "telephone_number": "480-820-0000",
            "fax_number": "480-775-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 W GUADALUPE RD",
            "address_2": "D-108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027254",
            "telephone_number": "480-820-0000",
            "fax_number": "480-775-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA VISITING NURSES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-313-9500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA 5444",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "AZ",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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

Verify at the official NPI Registry.