Active NPI
Professional Home Care Services, LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1598814758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA1950
- Legal business name
- PROFESSIONAL HOME CARE SERVICES, LLC
- Practice address
- 7600 N 16TH St
Suite 140
Phoenix, AZ 85020-4431 - Phone
- (602) 263-5000
- Fax
- (602) 263-5061
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Nichols
- Title
- V.P. Operations
- Phone
- (602) 395-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA1950 | AZ | Primary |
Addresses
Primary practice location
7600 N 16TH St
Suite 140
Phoenix, AZ 85020-4431
Mailing address
7600 N 16TH St
Suite 140
Phoenix, AZ 85020-4431
Phone (602) 263-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 648165 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
222 W Thomas Rd
Ste 304
Phoenix, AZ 85013
Phone (602) 406-3611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1598814758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-263-5000",
"fax_number": "602-263-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 16TH ST",
"address_2": "SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204431",
"telephone_number": "602-263-5000",
"fax_number": "602-263-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HOME CARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "V.P. OPERATIONS",
"authorized_official_telephone_number": "602-395-5100"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA1950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "648165",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Robyn Procyk, NP-C
- Professional Cares, LLC
- Professional Counseling Service, LLC
- Professional Diagnostix
- Professional Health Care Network, LLC
- Professional Medical Center Inc.
- Professional Medical Services of Arizona LLC
- Professional Nutrition Systems, LLC
- Professional P.E.a.R.L.S., Home Care, LLC
- Professional Physician Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.