Organization Active NPI

Michael Service Group, Inc

  • Personal Care Attendant
  • Phoenix, AZ
National Provider Identifier
1467302372
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
MICHAEL SERVICE GROUP, INC
Practice address
11811 N Tatum Blvd
Suite 3031
Phoenix, AZ 85028
Phone
(480) 573-9113
Fax
(480) 944-9486
NPI assigned
Jan 30, 2026
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Glen Michael
Title
Owner Operator
Phone
(480) 944-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

11811 N Tatum Blvd
Suite 3031
Phoenix, AZ 85028

Mailing address

11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621
Phone (480) 573-9113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1467302372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281621",
            "telephone_number": "480-573-9113",
            "fax_number": "480-944-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD",
            "address_2": "SUITE 3031",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-573-9113",
            "fax_number": "480-944-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SERVICE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "480-944-9269"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.