Arizona Senior Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA5649 Issued in AZ

Legal business name

ARIZONA SENIOR HOME CARE

Practice address

2123 Sunset PT Ste a
Miami, AZ 85539-1347

Phone

(928) 425-4663

Fax

(800) 832-9131

NPI assigned

Apr 15, 2016

Last updated

Apr 15, 2016By 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

Mellisa Marie Taylor, D.O.N

Title

Director of Nursing

Phone

(928) 425-4663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1669826673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 SUNSET PT STE A",
            "city": "MIAMI",
            "state": "AZ",
            "postal_code": "855391347",
            "telephone_number": "928-425-4663",
            "fax_number": "800-832-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 SUNSET PT STE A",
            "city": "MIAMI",
            "state": "AZ",
            "postal_code": "855391347",
            "telephone_number": "928-425-4663",
            "fax_number": "800-832-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SENIOR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MELLISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "928-425-4663",
        "authorized_official_credential": "D.O.N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA5649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.