Itc Personal in-Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

479687 Issued in AZ

Legal business name

ITC PERSONAL IN-HOME CARE

Practice address

759 N Lindsay Rd
Mesa, AZ 85213-6816

Phone

(480) 969-5480

Fax

(480) 969-5512

NPI assigned

Nov 13, 2014

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Thomas Forsgren

Title

Director

Phone

(480) 969-5480

Specialties & licenses 1

Addresses

Tax ID family

Itc Personal in-Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Itc Personal in-Home Care LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Mesa, AZ
  • NPI 1699023846
  NPD tax ID

Locations

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1437555745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 N LINDSAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136816",
            "telephone_number": "480-969-5480",
            "fax_number": "480-969-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 N LINDSAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852136816",
            "telephone_number": "480-969-5480",
            "fax_number": "480-969-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITC PERSONAL IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "FORSGREN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-969-5480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "479687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daylyn Ison, MS OTR/L
• Kristeena Ison, FNP
• Angel Israel
• Flora Issanda Stowater, NP
• It Sense LLC (Medical Alert Central)
• Itc Personal in-Home Care LLC
• Jasmine Iturres
• Star Iuli Jr.
• Deanna Iverson, M.ED.C.
• Michele Nicole Iverson, BA, CLINICIAN I

• In Home Supportive Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.