Organization Active NPI

Jelodon Corp

  • In Home Supportive Care Agency
  • Tucson, AZ
National Provider Identifier
1134542715
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JELODON CORP
Practice address
2980 N Campbell Ave Ste 190
Tucson, AZ 85719-7402
Phone
(520) 886-6620
NPI assigned
Feb 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
William Johnsen
Title
President
Phone
(602) 331-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2980 N Campbell Ave Ste 190
Tucson, AZ 85719-7402

Mailing address

15255 N 40TH St Ste 141
Phoenix, AZ 85032-4682
Phone (602) 331-1100

Other names 1

  • NURSING SOLUTIONS OF SOUTHERN ARIZONA Doing business as

National Provider Directory

National Provider Directory

Locations

2980 N Campbell Ave
Ste 190
Tucson, AZ 85719
Phone (520) 886-6620

NPI Registry JSON

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1134542715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST STE 141",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324682",
            "telephone_number": "602-331-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 N CAMPBELL AVE STE 190",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857197402",
            "telephone_number": "520-886-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELODON CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-331-1100"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSING SOLUTIONS OF SOUTHERN ARIZONA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.