Organization Active NPI

Rising Star Home Care and Transport

  • Non-emergency Medical Transport (VAN)
  • Blue Gap, AZ
National Provider Identifier
1639458342
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RISING STAR HOME CARE AND TRANSPORT
Practice address
2 Miles SW of Blue Gap Chapter
Blue Gap, AZ 86520
Phone
(928) 657-1356
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Dean Halkini Jr.
Title
Owner
Phone
(928) 675-1356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2 Miles SW of Blue Gap Chapter
Blue Gap, AZ 86520

Mailing address

PO Box 3397
Chinle, AZ 86503-3397
Phone (928) 675-1356

Other identifiers 1

IdentifierTypeStateIssuer
624795OtherAZAHCCCS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1639458342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865033397",
            "telephone_number": "928-675-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MILES SW OF BLUE GAP CHAPTER",
            "city": "BLUE GAP",
            "state": "AZ",
            "postal_code": "86520",
            "telephone_number": "928-657-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR HOME CARE AND TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "HALKINI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-675-1356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "624795",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Gap, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.