Bykota 2 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

04G554 Issued in CO

Legal business name

BYKOTA 2 LLC

Doing business as

Visiting Angels of Northern Arizona

Practice address

718 N Humphreys St Ste 201
Flagstaff, AZ 86001-3014

Phone

(928) 220-4100

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Chris Mark Smith

Title

Director

Phone

(928) 220-4100

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels of Northern Arizona Doing business as

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1114421138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N HUMPHREYS ST STE 201",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013014",
            "telephone_number": "928-220-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N HUMPHREYS ST STE 201",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013014",
            "telephone_number": "928-220-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYKOTA 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "928-220-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04G554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Northern Arizona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels of Northern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirk Alan Butler, PA-C
• Brittany Butters
• Melissa Jean Buyske, MA CCC-SLP
• Lita Byerly, PT
• Samantha Blair Byington, D.C.
• Ryan Byrnes
• C Sid Davis DDS PC
• Isaac J Cabanyog
• Cadence Performance PLLC
• Daniel Cady, ED D

• In Home Supportive Care Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.