NPIMap

Organization Active NPI

FSL Programs

  • Respite Care
  • Tempe, AZ
National Provider Identifier
1104982503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
ADHC-018 Issued in AZ
Legal business name
FSL PROGRAMS
Practice address
2303 E Maryland Dr
Tempe, AZ 85281-4709
Phone
(480) 446-3004
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Annette Iniguez
Title
Exec Asst
Phone
(602) 285-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X ADHC-018 AZ Primary

Addresses

Primary practice location

2303 E Maryland Dr
Tempe, AZ 85281-4709

Mailing address

1201 E Thomas Rd
Phoenix, AZ 85014-5734
Phone (602) 285-1800

Other identifiers 3

IdentifierTypeStateIssuer
BHS-2384OtherAZBHS LICENSE
ADHC-018OtherAZADHS LICENSE #
572421MedicaidAZ

Other names 1

  • ADHC - Tempe Young Adult Other name

National Provider Directory

National Provider Directory
Tax ID family
FSL Programs22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104982503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145734",
            "telephone_number": "602-285-1800",
            "fax_number": "602-285-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 E MARYLAND DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814709",
            "telephone_number": "480-446-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INIGUEZ",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXEC ASST",
        "authorized_official_telephone_number": "602-285-0505",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "ADHC-018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHS LICENSE",
            "identifier": "BHS-2384",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS LICENSE #",
            "identifier": "ADHC-018",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572421",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADHC - Tempe Young Adult",
            "code": "5",
            "type": "Other 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 Aug 22, 2020; 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.