Active NPI
Nomadic Services LLC
- In Home Supportive Care Agency
- Phoenix, AZ
National Provider Identifier
1063988962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085778 | Other | AHCCCS |
National Provider Directory
National Provider DirectoryLocations
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.