Organization
AVERRA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE GAFFNEY (CEO)
(602) 706-2380
Entity
Organization
Contact information
Practice address
3838 N CENTRAL AVE STE 928, PHOENIX, AZ 85012-1906
(480) 214-5330
(280) 219-2454
Mailing address
3838 N CENTRAL AVE, SITE 928, PHOENIX, AZ 85012-1906
(480) 214-5330
(480) 219-2454
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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