Healthcare Provider Details

I. General information

NPI: 1497788293
Provider Name (Legal Business Name): GERIPRO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14637 N CAVE CREEK RD
PHOENIX AZ
85022-4154
US

IV. Provider business mailing address

14637 N CAVE CREEK RD
PHOENIX AZ
85022-4154
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-6800
  • Fax: 602-249-6888
Mailing address:
  • Phone: 602-249-6800
  • Fax: 602-249-6888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN PERRY
Title or Position: PRESIDENT
Credential:
Phone: 602-249-6800