Organization Active NPI

Personal Care Homecare, Inc

  • In Home Supportive Care Agency
  • Glendale, AZ
National Provider Identifier
1174809172
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PERSONAL CARE HOMECARE, INC
Practice address
18813 N 46TH Dr
Glendale, AZ 85308-4440
Phone
(505) 504-3074
NPI assigned
Oct 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Ms. Julie Ann Chavez
Title
Owner
Phone
(505) 504-3074

Specialties & licenses 1

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

Addresses

Primary practice location

18813 N 46TH Dr
Glendale, AZ 85308-4440

Mailing address

18813 N 46TH Dr
Glendale, AZ 85308-4440
Phone (505) 504-3074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1174809172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18813 N 46TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084440",
            "telephone_number": "505-504-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18813 N 46TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084440",
            "telephone_number": "505-504-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-504-3074",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; 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.