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ADVANCED INDEPENDENCE NPI 1447401039


NPI Information

NPI: 1447401039
Provider Name: ADVANCED INDEPENDENCE
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 03D1082462

Address:
5313 W MURIEL DR
GLENDALE, AZ
ZIP 85308
Phone: (602) 439-7080
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ADVANCED INDEPENDENCE is a day training developmentally disabled services in Glendale, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ADVANCED INDEPENDENCE NPI is 1447401039. The provider is registered as an organization entity type.

The provider's business location address is:

5313 W MURIEL DR
GLENDALE, AZ
ZIP 85308-356
Phone: (602) 439-7080
Fax: (602) 863-6385

The provider's authorized official is Cynthia Lynne Moody .
The authorized official title is Ceo/diredtor and has the following contact phone number (602) 439-7080.

The CLIA number assigned to this NPI record is 03D1082462 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/1/2008 and was last updated on 10/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedARIZONANo
2252Y00000XEarly Intervention Provider AgencyARIZONANo
3251C00000XDay Training, Developmentally Disabled ServicesARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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