Organization Active NPI

Rapid Care at Home PLLC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1700354495
Registry record updated Oct 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RAPID CARE AT HOME PLLC
Practice address
4120 N 108TH Ave # 120
Phoenix, AZ 85037-5773
Phone
(602) 502-7330
Fax
(602) 497-4632
NPI assigned
Nov 12, 2018
Last updated
Oct 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2021

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

Authorized official

Name
Rachel Ortiz, NPNPI 1225588767
Title
Owner
Phone
(602) 368-4868

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

4120 N 108TH Ave # 120
Phoenix, AZ 85037-5773

Mailing address

4120 N 108TH Ave # 120
Phoenix, AZ 85037-5773
Phone (602) 502-7330

Other identifiers 1

IdentifierTypeStateIssuer
1225588767MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Rapidcareathome@gmail.com Health Information Exchange (HIE)
CONNECT URL Www.Rapidcareathome.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411002712 AZ Part B Supplier - Clinic/Group Practice 8820339203 Receives reassigned benefits from 5 practitioners
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2200006Rapid Care at Home PLLC4120 N 108TH Ave Ste 120, Phoenix, AZ 85037Certificate of waiverNov 11, 2026

National Provider Directory

National Provider Directory

Locations

4120 N 108th Ave
#120
Phoenix, AZ 85037
Phone (602) 502-7330

444 W Osborn Rd
Ste 101
Phoenix, AZ 85013
Phone (602) 200-0397

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633132800000",
    "number": "1700354495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 N 108TH AVE # 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375773",
            "telephone_number": "602-502-7330",
            "fax_number": "602-497-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 N 108TH AVE # 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375773",
            "telephone_number": "602-502-7330",
            "fax_number": "602-497-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CARE AT HOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-368-4868",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225588767",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rapidcareathome@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4120 N 108th Ave # 120",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850375773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.Rapidcareathome.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4120 N 108th Ave # 120",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850375773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.