Organization Active NPI

Flagstone Healthcare I, LLC

Doing business as Blessings for Seniors Companion Care

  • In Home Supportive Care Agency
  • Goodyear, AZ
National Provider Identifier
1407665953
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FLAGSTONE HEALTHCARE I, LLC
Doing business as
Blessings for Seniors Companion Care
Practice address
15655 W Roosevelt St Ste 104
Goodyear, AZ 85338-9311
Phone
(623) 594-0819
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Jack Coito
Title
President / Ceo
Phone
(623) 594-0819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

15655 W Roosevelt St Ste 104
Goodyear, AZ 85338-9311

Mailing address

15655 W Roosevelt St Ste 104
Goodyear, AZ 85338-9311
Phone (623) 594-0819

Other names 1

  • Blessings for Seniors Companion Care Doing business as

National Provider Directory

National Provider Directory

Locations

15655 W Roosevelt St
Ste 104
Goodyear, AZ 85338
Phone (623) 594-0819

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1407665953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389311",
            "telephone_number": "623-594-0819",
            "fax_number": "623-218-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 W ROOSEVELT ST STE 104",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389311",
            "telephone_number": "623-594-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTONE HEALTHCARE I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "COITO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "623-594-0819"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessings for Seniors Companion Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.