Organization Active NPI

Samaritan Angel Care Services LLC

  • Respite Care
  • Scottsdale, AZ
National Provider Identifier
1487016820
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
AL9984H Issued in AZ
Legal business name
SAMARITAN ANGEL CARE SERVICES LLC
Practice address
6321 E Evans Dr
Scottsdale, AZ 85254-3219
Phone
(480) 991-0001
Fax
(480) 922-5229
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Aimee N Nyirakanyana
Title
Owner
Phone
(480) 991-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X AL9984H AZ Primary

Addresses

Primary practice location

6321 E Evans Dr
Scottsdale, AZ 85254-3219

Mailing address

6321 E Evans Dr
Scottsdale, AZ 85254-3219
Phone (480) 991-0001

Other names 1

  • ASSISTED LIVING HOME Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1487016820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 E EVANS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543219",
            "telephone_number": "480-991-0001",
            "fax_number": "480-922-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 E EVANS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543219",
            "telephone_number": "480-991-0001",
            "fax_number": "480-922-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN ANGEL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "NYIRAKANYANA",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-991-0001"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "AL9984H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSISTED LIVING HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.