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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2024
- 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
- Jack Coito
- Title
- President / Ceo
- Phone
- (623) 594-0819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.