Active NPI
Cornwall Health Systems, Inc
Doing business as Alternate Homecare
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1376684332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CORNWALL HEALTH SYSTEMS, INC
- Doing business as
- Alternate Homecare
- Practice address
- 4229 N 82ND Ave
Phoenix, AZ 85033-2332 - Phone
- (623) 974-8300
- Fax
- (623) 974-8322
- NPI assigned
- Feb 10, 2007
- Last updated
- Sep 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lorna Ophelia Callender, R.N.
- Title
- Administrator
- Phone
- (623) 974-8300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
4229 N 82ND Ave
Phoenix, AZ 85033-2332
Mailing address
4229 N 82ND Ave
Phoenix, AZ 85033-2332
Phone (623) 974-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 869696 | Medicaid | AZ |
Other names 1
- Alternate Homecare
National Provider Directory
National Provider Directory- Tax ID family
- Alternate Homecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1376684332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 N 82ND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850332332",
"telephone_number": "623-974-8300",
"fax_number": "623-974-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 N 82ND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850332332",
"telephone_number": "623-974-8300",
"fax_number": "623-974-8322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNWALL HEALTH SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-10",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "CALLENDER",
"authorized_official_first_name": "LORNA",
"authorized_official_middle_name": "OPHELIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "623-974-8300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "869696",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alternate Homecare",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.