Dyna Care Arizona LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3390 Issued in AZ

Legal business name

DYNA CARE ARIZONA LLC

Practice address

5800 W Glenn Dr
Suite 320
Glendale, AZ 85301-2468

Phone

(623) 847-9900

Fax

(623) 847-1188

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Abiturab Boxwalla

Title

President

Phone

(708) 560-2925

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dyna Care Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dyna Care Arizona LLC

  • Home Health Agency
  • Tempe, AZ
  • NPI 1679635072
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dyna Care Arizona LLC

  • Home Health Agency
  • Tempe, AZ
  • NPI 1679635072
  NPPES parent name

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043375686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "address_2": "SUITE 7550",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W GLENN DR",
            "address_2": "SUITE 320",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012468",
            "telephone_number": "623-847-9900",
            "fax_number": "623-847-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNA CARE ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "ABITURAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-560-2925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826878",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorette Duverna
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• William Charles Dykes, M.D.
• Ashlyn Dzialo, RBT
• E Z Health Medical Supply, Inc
• Eagle Pass Senior Living LLC
• Eagle Pharmacy, LLC
• Dream Earl

• Home Health Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Home Health Agency in Arizona

• 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.

Verify at the official NPI Registry.