FR5 Ventures, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FR5 VENTURES, LLC

Practice address

20916 W Thomas Rd
Buckeye, AZ 85396-1643

Phone

(801) 792-0008

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Frederick Rothacher

Title

Member

Phone

(801) 792-0008

Specialties & licenses 1

Addresses

Other names 1

• HomeWell Care Services AZ276 Doing business as

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1346069747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20916 W THOMAS RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961643",
            "telephone_number": "801-792-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20916 W THOMAS RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961643",
            "telephone_number": "801-792-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FR5 VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "ROTHACHER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-792-0008"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services AZ276",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.