Active NPI
Select Home Care Phoenix, LLC.
- Respite Care
- Mesa, AZ
National Provider Identifier
1447743125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- SELECT HOME CARE PHOENIX, LLC.
- Practice address
- 1 N Macdonald Ste 16
Mesa, AZ 85201-7340 - Phone
- (480) 450-0804
- NPI assigned
- Jun 7, 2018
- 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
- Bryce J Hays
- Title
- Ceo
- Phone
- (480) 490-0804
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
1 N Macdonald Ste 16
Mesa, AZ 85201-7340
Mailing address
1 N Macdonald Ste 16
Mesa, AZ 85201-7340
Phone (480) 450-0804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338883 | Medicaid | AZ |
Other names 1
- Select Home Care
National Provider Directory
National Provider DirectoryLocations
1 N Macdonald
Ste 16
Mesa, AZ 85201
Phone (480) 450-0804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528329600000",
"number": "1447743125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N MACDONALD STE 16",
"city": "MESA",
"state": "AZ",
"postal_code": "852017340",
"telephone_number": "480-450-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N MACDONALD STE 16",
"city": "MESA",
"state": "AZ",
"postal_code": "852017340",
"telephone_number": "480-450-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT HOME CARE PHOENIX, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A",
"authorized_official_last_name": "HAYS",
"authorized_official_first_name": "BRYCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-490-0804"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "338883",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.