Active NPI
Dyna Care Arizona LLC
- Home Health Agency
- Tempe, AZ
National Provider Identifier
1679635072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA3390
- Legal business name
- DYNA CARE ARIZONA LLC
- Practice address
- 1553 W Todd Dr
Suite 101
Tempe, AZ 85283-4805 - Phone
- (480) 883-9295
- Fax
- (480) 883-9252
- NPI assigned
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization
- DYNA CARE ARIZONA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abiturab R. Boxwalla
- Title
- President
- Phone
- (708) 560-2925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA3390 | AZ | Primary |
Addresses
Primary practice location
1553 W Todd Dr
Suite 101
Tempe, AZ 85283-4805
Mailing address
1201 S Alma School Rd
Suite 7550
Mesa, AZ 85210-2008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 826878 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Dyna Care Arizona LLC
- Part of
- Dyna Care Arizona LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Glendale, AZ
- NPI 1043375686
Locations
1201 S Alma School Rd
Ste 7550
Mesa, AZ 85210
Phone (480) 980-2080
1553 W Todd Dr
Ste 101
Tempe, AZ 85283
Phone (480) 883-9295
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Glendale, AZ
- NPI 1043375686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1679635072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S ALMA SCHOOL RD",
"address_2": "SUITE 7550",
"city": "MESA",
"state": "AZ",
"postal_code": "852102008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 W TODD DR",
"address_2": "SUITE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852834805",
"telephone_number": "480-883-9295",
"fax_number": "480-883-9252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNA CARE ARIZONA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DYNA CARE ARIZONA LLC",
"enumeration_date": "2006-12-14",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "BOXWALLA",
"authorized_official_first_name": "ABITURAB",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-560-2925",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA3390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "826878",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}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 Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.