Advisacare Solutions of Arizona, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVISACARE SOLUTIONS OF ARIZONA, LLC

Practice address

698 E Wetmore Rd Ste 330
Tucson, AZ 85705-1752

Phone

(520) 323-2559

Fax

(520) 323-2561

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristian Skogen

Title

Ceo

Phone

(616) 464-1117

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Advisacare Solutions of Arizona LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Advisacare Solutions of Arizona, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1619427283
  NPD tax ID

Locations

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1114449956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468384",
            "telephone_number": "616-464-1117",
            "fax_number": "616-464-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 E WETMORE RD STE 330",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051752",
            "telephone_number": "520-323-2559",
            "fax_number": "520-323-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVISACARE SOLUTIONS OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "SKOGEN",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-464-1117"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.