Active NPI
Health Exchange of Arizona
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1033324538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTH EXCHANGE OF ARIZONA
- Practice address
- 1130 E Missouri Ave
#404
Phoenix, AZ 85014-2718 - Phone
- (602) 265-9606
- Fax
- (602) 265-9605
- NPI assigned
- May 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard I Bloom, JD
- Title
- President
- Phone
- (602) 265-9606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AZ | Primary |
Addresses
Primary practice location
1130 E Missouri Ave
#404
Phoenix, AZ 85014-2718
Mailing address
1130 E Missouri Ave
#404
Phoenix, AZ 85014-2718
Phone (602) 265-9606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145187 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Health Exchange of Arizona
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Phoenix, AZ
- NPI 1053303008
Locations
1130 E Missouri Ave
Ste 404
Phoenix, AZ 85014
Phone (602) 265-9606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033324538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 E MISSOURI AVE",
"address_2": "#404",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142718",
"telephone_number": "602-265-9606",
"fax_number": "602-265-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E MISSOURI AVE",
"address_2": "#404",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142718",
"telephone_number": "602-265-9606",
"fax_number": "602-265-9605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH EXCHANGE OF ARIZONA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-265-9606",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145187",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Health Choice Preferred Arizona Aco LLC
- Health Choice Preferred Arizona Physician Association LLC
- Health Clinical Lab LLC
- Health Clinical Lab LLC
- Health Counseling LLC
- Health Exchange of Arizona, Inc.
- Health Express, Inc
- Health Logic Education Services, LLC (HealthLogic Mobile Immunization Clinics)
- Health Max Group, LLC (American Premier Home Health Care)
- Health Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.