Organization Active NPI

Christian Senior Care of Arizona LLC

Doing business as Christian Companion Senior Care

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1720348626
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHRISTIAN SENIOR CARE OF ARIZONA LLC
Doing business as
Christian Companion Senior Care
Practice address
4809 E Thistle Landing Dr
Suite 100
Phoenix, AZ 85044-6498
Phone
(480) 285-1774
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Mr. Gregg Powell
Title
General Manger
Phone
(480) 285-1774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4809 E Thistle Landing Dr
Suite 100
Phoenix, AZ 85044-6498

Mailing address

4809 E Thistle Landing Dr
Suite 100
Phoenix, AZ 85044-6498
Phone (480) 285-1774

Other names 1

  • Christian Companion Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

4809 E Thistle Landing Dr
Ste 100
Phoenix, AZ 85044
Phone (480) 285-1721

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1720348626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 E THISTLE LANDING DR",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446498",
            "telephone_number": "480-285-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 E THISTLE LANDING DR",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446498",
            "telephone_number": "480-285-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN SENIOR CARE OF ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "GENERAL MANGER",
        "authorized_official_telephone_number": "480-285-1774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Companion Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 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.