Organization Active NPI

First Class Home Care, LLC

  • Homemaker
  • Phoenix, AZ
National Provider Identifier
1306156864
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
FIRST CLASS HOME CARE, LLC
Practice address
405 W Campo Bello Dr
Phoenix, AZ 85023-6533
Phone
(602) 368-9391
Fax
(602) 993-0534
NPI assigned
Oct 19, 2010
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mazal GoldNPI 1831408814
Title
President
Phone
(602) 368-9391

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
Homemaker 376J00000X NU Primary

Addresses

Primary practice location

405 W Campo Bello Dr
Phoenix, AZ 85023-6533

Mailing address

405 W Campo Bello Dr
Phoenix, AZ 85023-6533
Phone (602) 368-9391

Other identifiers 1

IdentifierTypeStateIssuer
515494MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1306156864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W CAMPO BELLO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236533",
            "telephone_number": "602-368-9391",
            "fax_number": "602-993-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W CAMPO BELLO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850236533",
            "telephone_number": "602-368-9391",
            "fax_number": "602-993-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MAZAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-368-9391"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.