Organization Active NPI

Advanced Senior Care Agency

  • Home Health Agency
  • Tempe, AZ
National Provider Identifier
1366620130
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
214557 Issued in AZ
Legal business name
ADVANCED SENIOR CARE AGENCY
Practice address
8675 S Priest Drive #103
Tempe, AZ 85284
Phone
(602) 493-2170
Fax
(602) 992-0457
NPI assigned
Feb 4, 2008
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Aaron Sinykin
Title
President
Phone
(602) 743-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 214557 AZ Primary

Addresses

Primary practice location

8675 S Priest Drive #103
Tempe, AZ 85284

Mailing address

8675 S Priest Drive #103
Tempe, AZ 85284
Phone (602) 493-2170

Other identifiers 1

IdentifierTypeStateIssuer
214557MedicaidAZ

National Provider Directory

National Provider Directory

Locations

8675 S Priest Dr
Ste 103
Tempe, AZ 85284
Phone (602) 493-2170

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1366620130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DRIVE #103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "602-493-2170",
            "fax_number": "602-992-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 S PRIEST DRIVE #103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "602-493-2170",
            "fax_number": "602-992-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SENIOR CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SINYKIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-743-8414"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "214557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214557",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.