NPIMap

Organization Active NPI

Supabilingualtherapyservices.LLC

  • Home Health Agency
  • Tempe, AZ
National Provider Identifier
1639449010
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPABILINGUALTHERAPYSERVICES.LLC
Practice address
2615 N Champlain Ave
Tempe, AZ 85281-7905
Phone
(623) 237-1922
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Ms. Marvah D'Aquino
Title
Owner
Phone
(623) 237-1922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2615 N Champlain Ave
Tempe, AZ 85281-7905

Mailing address

2615 N Champlain Ave
Tempe, AZ 85281-7905
Phone (623) 237-1922

Other identifiers 1

IdentifierTypeStateIssuer
1639449010OtherAZPT, OT,ST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1639449010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N CHAMPLAIN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817905",
            "telephone_number": "623-237-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N CHAMPLAIN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817905",
            "telephone_number": "623-237-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPABILINGUALTHERAPYSERVICES.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "D'AQUINO",
        "authorized_official_first_name": "MARVAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-237-1922",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT, OT,ST",
            "identifier": "1639449010",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.