Provider Demographics
NPI:1073397022
Name:DAVANI VENTURES LLC
Entity Type:Organization
Organization Name:DAVANI VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:DAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-815-0116
Mailing Address - Street 1:10424 E CINNABAR AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4902
Mailing Address - Country:US
Mailing Address - Phone:602-815-0116
Mailing Address - Fax:
Practice Address - Street 1:8549 E VIA DE LA ESCUELA
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3571
Practice Address - Country:US
Practice Address - Phone:602-815-0116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty