Active NPI
Shirley Gaines-Robinson
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1710694070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 146731
- Practice address
- 14819 N Cave Creek Rd
Phoenix, AZ 85032-4986 - Phone
- (480) 744-5478
- NPI assigned
- Nov 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 146731 | AZ | Primary |
Addresses
Primary practice location
14819 N Cave Creek Rd
Phoenix, AZ 85032-4986
Mailing address
46008 W Belle Ave
Maricopa, AZ 85139-6989
Phone (219) 561-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146731 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shirley@comfortcarehomecare.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146731 | AZ | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1710694070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46008 W BELLE AVE",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851396989",
"telephone_number": "219-561-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14819 N CAVE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324986",
"telephone_number": "480-744-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES-ROBINSON",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "146731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146731",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shirley@comfortcarehomecare.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "14819 N Cave Creek Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850324986",
"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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.