NPIMap

Organization Active NPI

Av Care Agency LLC

  • In Home Supportive Care Agency
  • Goodyear, AZ
National Provider Identifier
1972141422
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AV CARE AGENCY LLC
Practice address
2267 S 173Rd Dr
Goodyear, AZ 85338-1961
Phone
(623) 248-4342
Fax
(623) 248-6096
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Angela MuhammadNPI 1134649049
Title
Owner/Admin
Phone
(803) 600-6939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

2267 S 173Rd Dr
Goodyear, AZ 85338-1961

Mailing address

2267 S 173Rd Dr
Goodyear, AZ 85338-1961
Phone (623) 248-4342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AVCareAgencyLLC@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1972141422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 S 173RD DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381961",
            "telephone_number": "623-248-4342",
            "fax_number": "623-248-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 S 173RD DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381961",
            "telephone_number": "623-248-4342",
            "fax_number": "623-248-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "803-600-6939"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AVCareAgencyLLC@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Patient clinical information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secured information from DES/DDD",
            "address_1": "2267 S 173rd Dr",
            "city": "Goodyear",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853381961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.