Privus Healthcare, LLC

Key facts

NPI

1922417567

Entity type

Organization (NPI type 2)

Primary specialty

Case Management Agency 251B00000X

Legal business name

PRIVUS HEALTHCARE, LLC

Practice address

22601 N 19TH Ave Ste 114
Suite 114
Phoenix, AZ 85027-1324

Phone

(602) 595-5197

Fax

(602) 595-6041

NPI assigned

Aug 7, 2014

Organization subpart

No

Authorized official

Name

Matthew Perez

Title

Manager

Phone

(602) 595-5197

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2014.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1922417567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE STE 114",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271324",
            "telephone_number": "602-595-5197",
            "fax_number": "602-595-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 N 19TH AVE STE 114",
            "address_2": "SUITE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271324",
            "telephone_number": "602-595-5197",
            "fax_number": "602-595-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVUS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-595-5197"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Private Health Management Medical Group, PLLC
• Private Healthcare Facilities
• Private Suite Home Care Agency, LLC
• Privia Medical Group Arizona, LLC
• Privia Medical Group Arizona, LLC
• Fnu Priya
• Prizm Addiction Recovery LLC
• Prkay & Associates PLLC
• PRN Medical Services, LLC
• PRN NP Medical Services LLC

All providers in Phoenix, AZ · Case Management Agency in Arizona