Advantage Adult Healthcare LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ADVANTAGE ADULT HEALTHCARE LLC

Practice address

12415 N 149TH Dr
Surprise, AZ 85379-6907

Phone

(623) 236-3477

Fax

(623) 236-3477

NPI assigned

Mar 9, 2022

Last updated

Mar 9, 2022By 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

Miss Maria Padureanu

Title

Owner/Manager

Phone

(602) 578-0058

Specialties & licenses 1

Addresses

Other names 1

• Advantage Adult Healthcare LLC Other name

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1902553936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 N 149TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796907",
            "telephone_number": "623-236-3477",
            "fax_number": "623-236-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 N 149TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796907",
            "telephone_number": "623-236-3477",
            "fax_number": "623-236-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE ADULT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "PADUREANU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-578-0058",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Adult Healthcare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.