Selective Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SELECTIVE HEALTHCARE INC

Practice address

19841 N 68TH Dr
Glendale, AZ 85308-5593

Phone

(623) 533-8181

Fax

(623) 362-2242

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Meri J. Bacon

Title

President , Ceo

Phone

(623) 533-8181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Other name

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1063501948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19841 N 68TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085593",
            "telephone_number": "623-533-8181",
            "fax_number": "623-362-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19841 N 68TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085593",
            "telephone_number": "623-533-8181",
            "fax_number": "623-362-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIVE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "MERI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT , CEO",
        "authorized_official_telephone_number": "623-533-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584746",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Mar 14, 2011; 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.