Organization Active NPI

Palo Verde Homecare, LLC

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1023286150
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PALO VERDE HOMECARE, LLC
Practice address
5055 E Broadway Blvd Ste C214
Tucson, AZ 85711-3626
Phone
(520) 529-8387
Fax
(520) 844-1111
NPI assigned
Feb 11, 2008
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Degeronimo
Title
Practice Manager
Phone
(520) 529-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5055 E Broadway Blvd Ste C214
Tucson, AZ 85711-3626

Mailing address

5055 E Broadway Blvd Ste C214
Tucson, AZ 85711-3626
Phone (520) 529-8387

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1023286150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE C214",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113626",
            "telephone_number": "520-529-8387",
            "fax_number": "520-844-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE C214",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113626",
            "telephone_number": "520-529-8387",
            "fax_number": "520-844-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO VERDE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "DEGERONIMO",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "520-529-8387"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.