Secora LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SECORA LLC

Practice address

21620 S 225TH Way
Queen Creek, AZ 85142-2855

Phone

(414) 334-3303

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By 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

Michelle McCoy, REGISTERED NURSE

Title

RN

Phone

(414) 334-3303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1457102188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21620 S 225TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422855",
            "telephone_number": "414-334-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21620 S 225TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422855",
            "telephone_number": "414-334-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "414-334-3303",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Queen Creek, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.