A Caring Heart of Arizona LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05936 Issued in AZ

Legal business name

A CARING HEART OF ARIZONA LLC

Practice address

15333 N Pima Rd Ste 133
Scottsdale, AZ 85260-2787

Phone

(480) 308-0382

Fax

(480) 308-0384

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kandi Kay Clark

Title

Ceo, Owner

Phone

(480) 308-0382

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Caring Heart of Scottsdale LLC Former legal business name

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1649517368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 133",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602787",
            "telephone_number": "480-308-0382",
            "fax_number": "480-308-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 133",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602787",
            "telephone_number": "480-308-0382",
            "fax_number": "480-308-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CARING HEART OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KANDI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "480-308-0382",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "05936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826349",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Caring Heart of Scottsdale LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.