NPIMap

Organization Active NPI

Westchester Tbi Home Care LLC

  • Point of Service
  • Tempe, AZ
National Provider Identifier
1376908996
Registry record updated Dec 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
AL9833H Issued in AZ
Legal business name
WESTCHESTER TBI HOME CARE LLC
Practice address
1046 E Westchester Dr
Tempe, AZ 85283-3039
Phone
(480) 275-2221
Fax
(480) 361-6471
NPI assigned
Dec 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2015

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

Authorized official

Name
Mrs. Sophia Samantha Qendro
Title
Manager/Owner
Phone
(480) 275-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X AL9833H AZ Primary

Addresses

Primary practice location

1046 E Westchester Dr
Tempe, AZ 85283-3039

Mailing address

1046 E Westchester Dr
Tempe, AZ 85283-3039
Phone (480) 275-2221

Other names 1

  • Tempe TBI Home Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451001600000",
    "number": "1376908996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E WESTCHESTER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833039",
            "telephone_number": "480-275-2221",
            "fax_number": "480-361-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 E WESTCHESTER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833039",
            "telephone_number": "480-275-2221",
            "fax_number": "480-361-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER TBI HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-25",
        "last_updated": "2015-12-25",
        "status": "A",
        "authorized_official_last_name": "QENDRO",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "SAMANTHA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "480-275-2221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "AL9833H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tempe TBI Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2015; 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.