Organization Active NPI

At Home Medical Services and Palliative Care

  • Primary Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1194105536
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
AT HOME MEDICAL SERVICES AND PALLIATIVE CARE
Practice address
15551 N Greenway Hayden Loop
Suite 155
Scottsdale, AZ 85260-1210
Phone
(989) 964-9770
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Robert Laethem
Title
Coo
Phone
(989) 964-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

15551 N Greenway Hayden Loop
Suite 155
Scottsdale, AZ 85260-1210

Mailing address

15551 N Greenway Hayden Loop
Suite 155
Scottsdale, AZ 85260-1210

National Provider Directory

National Provider Directory

Locations

15551 N Greenway Hayden Loop
Ste 155
Scottsdale, AZ 85260
Phone (480) 991-8200

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1194105536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15551 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15551 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601210",
            "telephone_number": "989-964-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEDICAL SERVICES AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "LAETHEM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-964-9770"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.