Home Ancillary Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HOME ANCILLARY SERVICES

Practice address

2942 N 24TH St Ste 114-538
Phoenix, AZ 85016-7844

Phone

(303) 650-5800

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Kucera

Title

Executive Director

Phone

(303) 526-7739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1659641306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114-538",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844",
            "telephone_number": "303-650-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 114-538",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167844",
            "telephone_number": "303-650-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ANCILLARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-526-7739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce R Holzman, M.D.
• Lea Ann A Holzmeister, RD CDE
• Kaveh Homayoon, MD
• Home & Community Based Services Inc
• Home Again Medical, LLC
• Home Care PHX LLC
• Home Care Sweet Home, LLC
• Home Dental Services, LLC
• Home for Happy Life LLC
• Home Haven Living LLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.