Organization Active NPI

Southwest in Home Services

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1316112493
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTHWEST IN HOME SERVICES
Practice address
16042 N 32ND St
Suite B 12
Phoenix, AZ 85032-3806
Phone
(602) 463-1210
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mr. Kelly Scott Tegantvoort
Title
President & Ceo
Phone
(602) 463-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16042 N 32ND St
Suite B 12
Phoenix, AZ 85032-3806

Mailing address

16042 N 32ND St
Suite B-12
Phoenix, AZ 85032-3806
Phone (602) 463-1210

National Provider Directory

National Provider Directory

Locations

16042 N 32nd St
Ste B12
Phoenix, AZ 85032
Phone (602) 463-1210

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1316112493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16042 N 32ND ST",
            "address_2": "SUITE B-12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323806",
            "telephone_number": "602-463-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16042 N 32ND ST",
            "address_2": "SUITE B 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323806",
            "telephone_number": "602-463-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IN HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TEGANTVOORT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-463-1210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 29, 2008; 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.