Organization Active NPI

Lee'S Home Care

  • In Home Supportive Care Agency
  • Scottsdale, AZ
National Provider Identifier
1679319461
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LEE'S HOME CARE
Doing business as
Lee's Home Care
Lee's Home Care LLC
Practice address
3260 N Hayden Rd Ste 210-14
Scottsdale, AZ 85251-6649
Phone
(480) 659-3453
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Leeandra LD Etheridge, CERTFIFIED NURSING ANPI 1528720612
Title
Owner
Phone
(480) 659-3453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3260 N Hayden Rd Ste 210-14
Scottsdale, AZ 85251-6649

Mailing address

3260 N Hayden Rd Ste 210-14
Scottsdale, AZ 85251-6649
Phone (148) 065-9345

Other names 2

  • Lee's Home Care Doing business as
  • Lee's Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3260 N Hayden Rd
Ste 21014
Scottsdale, AZ 85251
Phone (480) 659-3453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1679319461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD STE 210-14",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516649",
            "telephone_number": "148-065-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD STE 210-14",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516649",
            "telephone_number": "480-659-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "LEEANDRA",
        "authorized_official_middle_name": "LD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-659-3453",
        "authorized_official_credential": "CERTFIFIED NURSING A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee's Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lee's Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.