Organization Active NPI

Hanger Prosthetics & Orthotics West Inc

Doing business as EliteCare

  • Prosthetic/Orthotic Supplier
  • Phoenix, AZ
National Provider Identifier
1386718260
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HANGER PROSTHETICS & ORTHOTICS WEST INC
Doing business as
EliteCare
Practice address
4050 E Cotton Center Blvd
Suite 60
Phoenix, AZ 85040-8861
Phone
(602) 426-8896
Fax
(602) 426-8895
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Sheryl Price
Title
Dir of Reimbursement
Phone
(503) 493-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4050 E Cotton Center Blvd
Suite 60
Phoenix, AZ 85040-8861

Mailing address

PO Box 650846
Dallas, TX 75265-0846
Phone (602) 426-8896

Other identifiers 1

IdentifierTypeStateIssuer
642307MedicaidAZ

Other names 1

  • EliteCare Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4050 E Cotton Center Blvd
Ste 60
Phoenix, AZ 85040
Phone (602) 426-2702

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1386718260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846",
            "telephone_number": "602-426-8896",
            "fax_number": "602-426-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E COTTON CENTER BLVD",
            "address_2": "SUITE 60",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408861",
            "telephone_number": "602-426-8896",
            "fax_number": "602-426-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGER PROSTHETICS & ORTHOTICS WEST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DIR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "503-493-8288"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642307",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EliteCare",
            "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 Jul 31, 2014; 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.