NPIMap

Organization Active NPI

Northstar Homecare

  • Adult Care Home Facility
  • Tempe, AZ
National Provider Identifier
1083957443
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
565310 Issued in AZ
Legal business name
NORTHSTAR HOMECARE
Practice address
750 W Baseline Rd
Tempe, AZ 85283-5903
Phone
(480) 329-8784
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Hassan Mohameed Abdelrahman
Title
Owner
Phone
(480) 329-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 565310 AZ Primary

Addresses

Primary practice location

750 W Baseline Rd
Tempe, AZ 85283-5903

Mailing address

750 W Baseline Rd
Tempe, AZ 85283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1083957443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835903",
            "telephone_number": "480-329-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "ABDELRAHMAN",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "MOHAMEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-329-8784"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "565310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.