NPIMap

Organization Active NPI

Nightingale Nurses Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1366543449
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA0248 Issued in AZ
Legal business name
NIGHTINGALE NURSES INC.
Practice address
2411 W Rose Garden LN Ste 110
Phoenix, AZ 85027-2583
Phone
(602) 504-1555
Fax
(602) 504-1552
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Ms. Jean Gonynor, MS, MBA, RN
Title
Administrator
Phone
(602) 504-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA0248 AZ Primary

Addresses

Primary practice location

2411 W Rose Garden LN Ste 110
Phoenix, AZ 85027-2583

Mailing address

2411 W Rose Garden LN Ste 110
Phoenix, AZ 85027-2583
Phone (602) 504-1555

Other names 1

  • Nightingale Homecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030909000020 AZ Part A Provider - Home Health Agency 2860303187 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037188

Legal name
NIGHTINGALE NURSES INC.
Doing business as
NIGHTINGALE HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 4, 1996
Last certification
Aug 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 20, 1994 in AZ
Enrollment address
2411 W Rose Garden LN
Ste 110
Phoenix, AZ 85027-2583

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nightingale HomecareCCN 037188
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Apr 4, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0912337Nightingale Nurses Inc Dba2411 W Rose Garden LN #110, Phoenix, AZ 85027Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

12801 N 28th Dr
Ste 7
Phoenix, AZ 85029
Phone (602) 504-1555

2411 W Rose Garden Ln
Ste 110
Phoenix, AZ 85027
Phone (602) 504-1555

2101 E Broadway Rd
Ste 11
Tempe, AZ 85282
Phone (480) 656-3395

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jean L Gonynor Individual W-2 Managing EmployeeAdministrator Sep 28, 2009
Thomas Glatt Individual 5% Or Greater Direct Ownership Interest Jan 23, 2023 100%
Corporate OfficerCeo Sep 1, 1999
Corporate DirectorCeo Mar 13, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1366543449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W ROSE GARDEN LN STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272583",
            "telephone_number": "602-504-1555",
            "fax_number": "602-504-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W ROSE GARDEN LN STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272583",
            "telephone_number": "602-504-1555",
            "fax_number": "602-504-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE NURSES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "GONYNOR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-504-1555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, MBA, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA0248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.