Active NPI
Elder Care Geriatric Services
- Health Maintenance Organization
- Mesa, AZ
National Provider Identifier
1265634174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- ELDER CARE GERIATRIC SERVICES
- Practice address
- 1 N Macdonald
Suite 13
Mesa, AZ 85201-7339 - Phone
- (480) 969-1197
- Fax
- (480) 835-8809
- NPI assigned
- Jun 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erna H Arnold
- Title
- Administrator
- Phone
- (480) 969-1197
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | AZ | Primary |
Addresses
Primary practice location
1 N Macdonald
Suite 13
Mesa, AZ 85201-7339
Mailing address
1 N Macdonald
Suite 13
Mesa, AZ 85201-7339
Phone (480) 969-1197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 779944 | Other | AZ | ARIZONA AHCCESS |
National Provider Directory
National Provider DirectoryLocations
1 N Macdonald
Ste 13
Mesa, AZ 85201
Phone (480) 969-1197
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Mesa, AZ
- NPI 1629270947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265634174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N MACDONALD",
"address_2": "SUITE 13",
"city": "MESA",
"state": "AZ",
"postal_code": "852017339",
"telephone_number": "480-969-1197",
"fax_number": "480-835-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N MACDONALD",
"address_2": "SUITE 13",
"city": "MESA",
"state": "AZ",
"postal_code": "852017339",
"telephone_number": "480-969-1197",
"fax_number": "480-835-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDER CARE GERIATRIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "ERNA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "480-969-1197"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA AHCCESS",
"identifier": "779944",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.