Organization Active NPI

Aim Healthcare Providers, LLC

  • General Practice Physician
  • Tempe, AZ
National Provider Identifier
1104547975
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AIM HEALTHCARE PROVIDERS, LLC
Practice address
5025 S Ash Ave Ste 6&8
Tempe, AZ 85282-6839
Phone
(480) 494-2465
Fax
(480) 534-4087
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Kelly Karaniuk
Title
Credentialing Direct
Phone
(480) 494-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

5025 S Ash Ave Ste 6&8
Tempe, AZ 85282-6839

Mailing address

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0035
Phone (480) 494-2465

Other names 1

  • AIM Healthcare Providers, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Aim Healthcare Providers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1104547975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970035",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 S ASH AVE STE 6&8",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826839",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIM HEALTHCARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KARANIUK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING DIRECT",
        "authorized_official_telephone_number": "480-494-2465"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM Healthcare Providers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AIM Healthcare Providers, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 9, 2024; 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.