Organization Active NPI

Elder Care Geriatric Services

  • Health Maintenance Organization
  • Mesa, AZ
National Provider Identifier
1265634174
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erna H ArnoldNPI 1629270947
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
779944OtherAZARIZONA AHCCESS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.