Organization Active NPI

Jackie Mauersberger LLC

  • In Home Supportive Care Agency
  • Florence, AZ
National Provider Identifier
1447755376
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JACKIE MAUERSBERGER LLC
Practice address
5701 E Lush Vista VW
Florence, AZ 85132-8011
Phone
(702) 308-0935
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Lyn C Espaldon
Title
Manager
Phone
(702) 308-0935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5701 E Lush Vista VW
Florence, AZ 85132-8011

Mailing address

5701 E Lush Vista VW
Florence, AZ 85132-8011
Phone (702) 308-0935

Other names 1

  • St. Julianna Caregivers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1447755376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E LUSH VISTA VW",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328011",
            "telephone_number": "702-308-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E LUSH VISTA VW",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328011",
            "telephone_number": "702-308-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE MAUERSBERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "ESPALDON",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-308-0935"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Julianna Caregivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.