Organization Active NPI

Assist to Independence

  • Customized Equipment (DME)
  • Tuba City, AZ
National Provider Identifier
1528483179
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
459512 Issued in AZ
Legal business name
ASSIST TO INDEPENDENCE
Practice address
4133 East Cedar Ave
Tuba City, AZ 86045-4133
Phone
(928) 283-6261
Fax
(928) 283-6284
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Ms. Lorraine Jones-Noline
Title
Executive Director
Phone
(928) 283-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 459512 AZ Primary

Addresses

Primary practice location

4133 East Cedar Ave
Tuba City, AZ 86045-4133

Mailing address

PO Box 4133
Tuba City, AZ 86045-4133
Phone (928) 283-6261

Other identifiers 1

IdentifierTypeStateIssuer
459512OtherAZAHCCCS PROVIDER ID NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Assist to Independence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1528483179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4133",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860454133",
            "telephone_number": "928-283-6261",
            "fax_number": "928-283-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 EAST CEDAR AVE",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860454133",
            "telephone_number": "928-283-6261",
            "fax_number": "928-283-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST TO INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "JONES-NOLINE",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-283-6261",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "459512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID NUMBER",
            "identifier": "459512",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.