Organization Active NPI

Nomadic Services LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1063988962
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOMADIC SERVICES LLC
Practice address
2406 S 24TH St Ste E107
Phoenix, AZ 85034-6858
Phone
(602) 802-9437
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Abdiwali Gelle
Title
Ceo
Phone
(602) 802-9437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2406 S 24TH St Ste E107
Phoenix, AZ 85034-6858

Mailing address

2406 S 24TH St Ste E107
Phoenix, AZ 85034-6858
Phone (602) 802-9437

Other identifiers 1

IdentifierTypeStateIssuer
085778OtherAHCCCS

National Provider Directory

National Provider Directory

Locations

2406 S 24th St
Ste E107
Phoenix, AZ 85034
Phone (602) 802-9437

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1063988962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 S 24TH ST STE E107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346858",
            "telephone_number": "602-802-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 S 24TH ST STE E107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346858",
            "telephone_number": "602-802-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMADIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "GELLE",
        "authorized_official_first_name": "ABDIWALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-802-9437"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "085778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.