F.C. of Arizona, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3447 Issued in AZ

Legal business name

F.C. OF ARIZONA, INC.

Doing business as

Intrepid USA Healthcare Services

Practice address

1820 E River Rd Ste 115
Tucson, AZ 85718-5991

Phone

(520) 742-0272

Fax

(520) 742-0313

NPI assigned

Nov 18, 2005

Last updated

Nov 7, 2022By 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

Robert Parker

Title

Cco

Phone

(214) 445-3773

Specialties & licenses 2

Addresses

Other names 1

• Intrepid USA Healthcare Services Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teresa Mary Simmons, OTR L

  • Occupational Therapist
  • Oro Valley, AZ
  • NPI 1225239817
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1194707778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 DALLAS PKWY STE 625",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547641",
            "telephone_number": "214-542-4952",
            "fax_number": "214-445-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E RIVER RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185991",
            "telephone_number": "520-742-0272",
            "fax_number": "520-742-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.C. OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "214-445-3773"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intrepid USA Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Sarah Rhiannon Eyre, DNP, APRN, FNP-BC
• Jacqulyn Marie Eyrich, R.R.T
• Adaora Ezeani, MD, MPH
• Chioma Kenechukwu Ezekwe, M.D.
• Grace Chidinma Ezenwaka, PMHNP
• Kimberly Mikell Faber, FNP
• Tatum Faber
• Jill Fabian, LCSW,LISAC
• James Eliot Fabricant, OD
• Angel Lena Fabriguze, PHARM D

• 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 Nov 7, 2022; 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.