Organization Active NPI

Assist to Independence

  • Non-emergency Medical Transport (VAN)
  • Tuba City, AZ
National Provider Identifier
1700856390
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
457730 Issued in AZ
Legal business name
ASSIST TO INDEPENDENCE
Practice address
East Cedar Avenue
SE Tuba City Indian Medical Center Lot
Tuba City, AZ 86045-4133
Phone
(928) 283-6261
Fax
(928) 283-6284
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Ms. Lorraine Jones Noline
Title
Executive Director
Phone
(928) 283-6290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03-028432Z AZ
Customized Equipment (DME) 332BC3200X 459512 AZ
Non-emergency Medical Transport (VAN) 343900000X 457730 AZ Primary

Addresses

Primary practice location

East Cedar Avenue
SE Tuba City Indian Medical Center Lot
Tuba City, AZ 86045-4133

Mailing address

PO Box 4133
Tuba City, AZ 86045-4133
Phone (928) 283-6261

Other identifiers 3

IdentifierTypeStateIssuer
459512MedicaidAZ
457730MedicaidAZ
775059MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Assist to Independence2 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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1700856390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4133",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860454133",
            "telephone_number": "928-283-6261",
            "fax_number": "928-283-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST CEDAR AVENUE",
            "address_2": "SE TUBA CITY INDIAN MEDICAL CENTER LOT",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860454133",
            "telephone_number": "928-283-6261",
            "fax_number": "928-283-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSIST TO INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "NOLINE",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-283-6290",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "03-028432Z",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "459512",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "457730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459512",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457730",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "775059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuba City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.