Sunland Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SUNLAND HOME CARE

Practice address

4435 E Broadway Rd # 2
Mesa, AZ 85206-2012

Phone

(480) 447-8893

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Traci Beagley

Title

Owner

Phone

(801) 361-7022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1659151710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 E EDGEWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 E BROADWAY RD # 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062012",
            "telephone_number": "480-447-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAND HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "BEAGLEY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-361-7022"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.