Itc Personal in-Home Care LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

479687 Issued in AZ

Legal business name

ITC PERSONAL IN-HOME CARE LLC

Practice address

1345 E Main St Ste 110
Mesa, AZ 85203-8950

Phone

(480) 969-5480

Fax

(480) 969-5512

NPI assigned

Aug 20, 2012

Last updated

Aug 20, 2012By 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

Mr. Josh Gonzales

Title

Owner

Phone

(480) 969-5480

Specialties & licenses 1

Addresses

Tax ID family

Itc Personal in-Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Itc Personal in-Home Care

  • In Home Supportive Care Agency
  • Mesa, AZ
  • NPI 1437555745
  NPD tax ID

Locations

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1699023846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038950",
            "telephone_number": "480-969-5480",
            "fax_number": "480-969-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 110",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038950",
            "telephone_number": "480-969-5480",
            "fax_number": "480-969-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITC PERSONAL IN-HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-969-5480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AZ",
            "license": "479687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristeena Ison, FNP
• Angel Israel
• Flora Issanda Stowater, NP
• It Sense LLC (Medical Alert Central)
• Itc Personal in-Home Care
• Jasmine Iturres
• Star Iuli Jr.
• Deanna Iverson, M.ED.C.
• Michele Nicole Iverson, BA, CLINICIAN I
• Ivy in-Home Care Services Inc.

• Child Intellectual and/or Developmental Disabilities Respite Care in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.