Active NPI
Digitrace Care Services Inc
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
National Provider Identifier
1114104825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DIGITRACE CARE SERVICES INC
- Practice address
- 3811 E Bell Rd
Suite 207
Phoenix, AZ 85032-2138 - Phone
- (978) 536-7400
- NPI assigned
- Jan 24, 2008
- Last updated
- May 20, 2016
- 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
- Joseph Rose
- Title
- VP of Finance & Administration
- Phone
- (978) 536-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
3811 E Bell Rd
Suite 207
Phoenix, AZ 85032-2138
Mailing address
60 Chastain Center Blvd NW
Suite 66
Kennesaw, GA 30144-5598
Phone (770) 592-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618325 | Other | AETNA |
National Provider Directory
National Provider Directory- Tax ID family
- Digitrace Care Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463702400000",
"number": "1114104825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CHASTAIN CENTER BLVD NW",
"address_2": "SUITE 66",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445598",
"telephone_number": "770-592-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 E BELL RD",
"address_2": "SUITE 207",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322138",
"telephone_number": "978-536-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGITRACE CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2016-05-20",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "VP OF FINANCE & ADMINISTRATION",
"authorized_official_telephone_number": "978-536-7400"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Digestive Health Center of Arizona
- Digestive Healthcare Associates, LLC
- Daniel Andrew Diggins Jr.
- Naomi Susan Diggs
- Evan Kyle Digiovanni, RN182320
- Dignity Behavioral Health Residential
- Dignity Behavioral Health Residential, LLC (Dignity Behavioral Health Residential)
- Dignity First Care at Home LLC
- Dignity Health (Children's Rehabilitative Services)
- Dignity Health (St. Joseph's McAuley Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.