Organization Active NPI

Arizona Private Care

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1619197985
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ARIZONA PRIVATE CARE
Practice address
2659 W. Guadalupe
Suite 107
Mesa, AZ 85202-6412
Phone
(480) 814-8181
Fax
(480) 820-4141
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Ashley Marie Antoniello, RN/OWNER
Title
RN/Owner
Phone
(980) 814-8181

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

2659 W. Guadalupe
Suite 107
Mesa, AZ 85202-6412

Mailing address

2266 S Dobson Rd
Suite #200
Mesa, AZ 85202-6412
Phone (480) 814-8181

National Provider Directory

National Provider Directory

Locations

2659 W Guadalupe Rd
Ste 107
Mesa, AZ 85202
Phone (480) 814-8181

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1619197985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD",
            "address_2": "SUITE #200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-814-8181",
            "fax_number": "480-814-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 W. GUADALUPE",
            "address_2": "SUITE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-814-8181",
            "fax_number": "480-820-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PRIVATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "ANTONIELLO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "980-814-8181",
        "authorized_official_credential": "RN/OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2011; 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.