Traditional Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

415780 Issued in AZ

Legal business name

TRADITIONAL HOME CARE

Practice address

1/4 Mile N. Two Story Rd.
Ra #31
St. Michaels, AZ 86511

Phone

(928) 871-5021

Fax

(928) 810-3998

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lula M Nez

Title

Owner

Phone

(928) 871-5021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1669728713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "ST MICHAELS",
            "state": "AZ",
            "postal_code": "865110998",
            "telephone_number": "928-871-5021",
            "fax_number": "928-810-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1/4 MILE N. TWO STORY RD.",
            "address_2": "RA #31",
            "city": "ST. MICHAELS",
            "state": "AZ",
            "postal_code": "86511",
            "telephone_number": "928-871-5021",
            "fax_number": "928-810-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "NEZ",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-871-5021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "415780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in St. Michaels, AZ
• Providers in St. Michaels, 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 Jul 26, 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.