Medipro Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDIPRO HEALTH SERVICES LLC

Practice address

2659 W Guadalupe Rd
BLDG. C-116 and 119
Mesa, AZ 85202-7254

Phone

(623) 330-0357

Fax

(623) 374-2673

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Teresita M Tadaya, BS, CMA(AAMA), ALFM

Title

Administrative Director

Phone

(623) 330-0357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1427409705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 W GUADALUPE RD",
            "address_2": "BLDG. C-116 AND 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027254",
            "telephone_number": "623-330-0357",
            "fax_number": "623-374-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 W GUADALUPE RD",
            "address_2": "BLDG. C-116 AND 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027254",
            "telephone_number": "623-330-0357",
            "fax_number": "623-374-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPRO HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "TADAYA",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "623-330-0357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, CMA(AAMA), ALFM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.