AVISTA SCW, LLC
NPI 1023674454
Assisted Living Facility in Sun City West, AZ

Q: What is Avista Scw, LLC's NPI number?

The NPI number for Avista Scw, LLC is 1023674454. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Avista Sun City West Memory Care.

Q: What is Avista Scw, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Avista Scw, LLC was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2019CLIA 03D2199794 · Waiver

12820 W BEARDSLEY RD, SUN CITY WEST, AZ 85375(623) 552-2200(623) 546-5815 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avista Scw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVISTA SCW, LLC (NPI 1023674454), doing business as Avista Sun City West Memory Care, is a healthcare organization registered as an assisted living facility in Sun City West, Arizona and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Candice Fine, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1023674454

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameAVISTA SCW, LLC

Location Address12820 W BEARDSLEY RDSun City West, AZ 85375-3306

Mailing Address1930 N Arboleda Ste 215Mesa, AZ 85213-3217 · (480) 244-9173

Phone(623) 552-2200

Fax(623) 546-5815

Organization SubpartNo

Authorized OfficialCandice FineAuthorized Agent · (480) 244-9173

Enumeration DateMay 10, 2019

✔ NPI 1023674454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

12820 W BEARDSLEY RD, Sun City West, AZ 85375

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Other Names 1

Doing Business AsAvista Sun City West Memory Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2199794

Avista Sun City West · Sun City West, AZ

Active · expires Nov 9, 2026

CLIA Number03D2199794

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 10, 2024

Certificate Expiration DateNovember 9, 2026

Laboratory DirectorJason K. Bissen

Laboratory Phone(623) 584-1578

Laboratory LocationAvista Sun City West12820 W Beardsley Rd, Sun City West, AZ 85375

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avista Scw, LLC's NPI number?

The NPI number for Avista Scw, LLC is 1023674454. It was assigned to this organization in the NPPES registry on May 10, 2019. The provider is doing business as Avista Sun City West Memory Care.

Where is Avista Scw, LLC located?

Avista Scw, LLC is located at 12820 W Beardsley Rd, Sun City West, AZ 85375. The listed phone number is (623) 552-2200.

What is Avista Scw, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Avista Scw, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2199794) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avista Scw, LLC was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.