Active NPI
James Verdieu
- Home Health Aide
- San Tan Valley, AZ
National Provider Identifier
1427670207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- AL11416H
- Practice address
- 2785 W Goldmine Mountain Dr
San Tan Valley, AZ 85142-4752 - Phone
- (602) 487-8998
- NPI assigned
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | AL11416H | AZ | Primary |
Addresses
Primary practice location
2785 W Goldmine Mountain Dr
San Tan Valley, AZ 85142-4752
Mailing address
2785 W Goldmine Mountain Dr
San Tan Valley, AZ 85142-4752
Phone (602) 487-8998
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | golminejv.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL11416H | AZ | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldmine Assisted Living Home JV LLC | Current | Accepting new patients | |
| Goldmine JV Non Emergency Transportation LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Assisted Living Home
- Assisted Living Facility
- San Tan Valley, AZ
- NPI 1396582557
-
- Transportation Broker
- San Tan Vly, AZ
- NPI 1922942861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1427670207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2785 W GOLDMINE MOUNTAIN DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851424752",
"telephone_number": "602-487-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 W GOLDMINE MOUNTAIN DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851424752",
"telephone_number": "602-487-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDIEU",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AZ",
"license": "AL11416H",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "golminejv.com",
"affiliation": "N",
"endpointDescription": "domain",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2785 W Goldmine Mountain Dr",
"city": "San Tan Valley",
"state": "AZ",
"country_code": "US",
"postal_code": "851424752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.