NPIMap

Organization Active NPI

Open Hands and Warm Heart Pca

  • PACE Provider Organization
  • Phoenix, AZ
National Provider Identifier
1558609503
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
OPEN HANDS AND WARM HEART PCA
Practice address
3777 E McDowell Rd Apt 1098
Phoenix, AZ 85008-4351
Phone
(612) 545-6723
Fax
(602) 687-7824
NPI assigned
Jan 25, 2013
Last updated
Jan 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mrs. Fadumo Abdi Ali
Title
Caregiver
Phone
(612) 545-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X NU Primary

Addresses

Primary practice location

3777 E McDowell Rd Apt 1098
Phoenix, AZ 85008-4351

Mailing address

3777 E McDowell Rd Apt 1098
Phoenix, AZ 85008-4351
Phone (612) 545-6723

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1558609503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 E MCDOWELL RD APT 1098",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084351",
            "telephone_number": "612-545-6723",
            "fax_number": "602-687-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 E MCDOWELL RD APT 1098",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084351",
            "telephone_number": "612-545-6723",
            "fax_number": "602-687-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HANDS AND WARM HEART PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "ABDI",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "612-545-6723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "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 25, 2013; 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.