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AVID SUPPORT RESOURCES LLC
NPI 1275277667
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Glendale, AZ

Active since April 22, 2022
8705 W MORTEN AVE, GLENDALE, AZ 85305(623) 210-5169 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avid Support Resources Llc NPPES

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

AVID SUPPORT RESOURCES LLC (NPI 1275277667) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Glendale, Arizona and active in the NPI registry since April 2022. The organization lists Tanisha Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1275277667
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameAVID SUPPORT RESOURCES LLC
Location Address8705 W MORTEN AVEGlendale, AZ 85305-3944
Mailing Address8705 W Morten AveGlendale, AZ 85305-3944 · (623) 210-5169
Phone(623) 210-5169
Organization SubpartNo
Authorized OfficialTanisha LawrenceOwner · (623) 210-5169
Enumeration DateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1275277667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
8705 W MORTEN AVE, Glendale, AZ 85305
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Other Names 1

Doing Business AsAvid Support Resources Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TANISHA LAWRENCE
Foster Care Agency
8705 W MORTEN AVE
GLENDALE, AZ 85305
Maricopa County (623) 210-5169

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 Avid Support Resources LLC's NPI number?

The NPI number for Avid Support Resources LLC is 1275277667. It was assigned to this organization in the NPPES registry on April 22, 2022.

Where is Avid Support Resources LLC located?

Avid Support Resources LLC is located at 8705 W Morten Ave, Glendale, AZ 85305. The listed phone number is (623) 210-5169.

What is Avid Support Resources LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Avid Support Resources LLC was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.