Organization Active NPI

Ahpc Phoenix, LLC

Doing business as At Home Personal Care

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1467767012
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HHA4863 Issued in AZ
Legal business name
AHPC PHOENIX, LLC
Doing business as
At Home Personal Care
Practice address
2444 E Southern Ave Ste 107
Mesa, AZ 85204-5418
Phone
(480) 497-4347
Fax
(480) 926-0221
NPI assigned
Aug 6, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Christy Buskirk
Title
Controller
Phone
(801) 746-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HHA4863 AZ Primary

Addresses

Primary practice location

2444 E Southern Ave Ste 107
Mesa, AZ 85204-5418

Mailing address

4500 N 32ND St Ste 107
Phoenix, AZ 85018-3350
Phone (480) 497-4347

Other names 1

  • At Home Personal Care Doing business as

National Provider Directory

National Provider Directory

Locations

2444 E Southern Ave
Ste 107
Mesa, AZ 85204
Phone (480) 497-4347

4500 N 32nd St
Ste 107
Phoenix, AZ 85018

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1467767012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N 32ND ST STE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183350",
            "telephone_number": "480-497-4347",
            "fax_number": "480-926-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 E SOUTHERN AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045418",
            "telephone_number": "480-497-4347",
            "fax_number": "480-926-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHPC PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "BUSKIRK",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "801-746-5558"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "HHA4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Personal 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 Sep 2, 2010; 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.