Organization Active NPI

Patient Care Infusion

Doing business as Arizona Home Care

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
National Provider Identifier
1669692331
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
303 Issued in AZ
Legal business name
PATIENT CARE INFUSION
Doing business as
Arizona Home Care
Practice address
1626 S Edward Dr
Tempe, AZ 85281-6200
Phone
(602) 252-5000
Fax
(602) 323-5070
NPI assigned
Apr 26, 2007
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Mr. Robert Allen Coston
Title
Ar Manager
Phone
(602) 252-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 303 AZ Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 303 AZ

Addresses

Primary practice location

1626 S Edward Dr
Tempe, AZ 85281-6200

Mailing address

1626 S Edward Dr
Tempe, AZ 85281-6200
Phone (602) 252-5000

Other identifiers 1

IdentifierTypeStateIssuer
312512MedicaidAZ

Other names 1

  • Arizona Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027692 AZ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5193845543 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tempe, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1669692331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S EDWARD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816200",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S EDWARD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816200",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "COSTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "602-252-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "303",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312512",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.