Organization Active NPI

Select Home Care Phoenix, LLC.

  • Respite Care
  • Mesa, AZ
National Provider Identifier
1447743125
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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

Updated by the provider on Jun 7, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
338883MedicaidAZ

Other names 1

  • Select Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.