Active NPI
Arizona Consumer Direct Personal Care
- Home Health Agency
- Tucson, AZ
National Provider Identifier
1386854370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARIZONA CONSUMER DIRECT PERSONAL CARE
- Practice address
- 50 N Alvernon Way
Tucson, AZ 85711-2801 - Phone
- (520) 398-8409
- Fax
- (877) 398-8413
- NPI assigned
- May 22, 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
- Holly Stephens
- Title
- Legal Manager
- Phone
- (406) 532-1929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
50 N Alvernon Way
Tucson, AZ 85711-2801
Mailing address
100 Consumer Direct Way
Missoula, MT 59808-5037
Phone (406) 539-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169121 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745193600000",
"number": "1386854370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CONSUMER DIRECT WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598085037",
"telephone_number": "406-539-1900",
"fax_number": "406-532-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N ALVERNON WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112801",
"telephone_number": "520-398-8409",
"fax_number": "877-398-8413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA CONSUMER DIRECT PERSONAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "LEGAL MANAGER",
"authorized_official_telephone_number": "406-532-1929"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169121",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.