NPIMap

Organization Active NPI

Access Wisdom Homecare

  • Health Maintenance Organization
  • Green Valley, AZ
National Provider Identifier
1245549617
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1112980 Issued in AZ
Legal business name
ACCESS WISDOM HOMECARE
Practice address
360 W Vista Hermosa Dr
360 W. Vista Hermosa
Green Valley, AZ 85614-1903
Phone
(520) 393-0300
Fax
(520) 393-1100
NPI assigned
Oct 1, 2010
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Connie K Halkowitz
Title
Manager
Phone
(520) 393-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1112980 AZ Primary

Addresses

Primary practice location

360 W Vista Hermosa Dr
360 W. Vista Hermosa
Green Valley, AZ 85614-1903

Mailing address

360 W Vista Hermosa Dr
Green Valley, AZ 85614-1903
Phone (520) 393-0300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1245549617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W VISTA HERMOSA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141903",
            "telephone_number": "520-393-0300",
            "fax_number": "520-393-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W VISTA HERMOSA DR",
            "address_2": "360 W. VISTA HERMOSA",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141903",
            "telephone_number": "520-393-0300",
            "fax_number": "520-393-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WISDOM HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "HALKOWITZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-393-0300"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "1112980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.