Organization Active NPI

930, LLC

  • In Home Supportive Care Agency
  • Bullhead City, AZ
National Provider Identifier
1720429582
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
930, LLC
Doing business as
IN-HOME CAREGIVING, LLC
Practice address
3003 Highway 95 Ste 39
Bullhead City, AZ 86442-7896
Phone
(314) 406-6136
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Ndeye Ceesay
Title
Ceo
Phone
(314) 406-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3003 Highway 95 Ste 39
Bullhead City, AZ 86442-7896

Mailing address

12601 Woodmont Estates CT
Des Peres, MO 63131-2151
Phone (314) 406-6136

Other names 1

  • IN-HOME CAREGIVING, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3003 Highway 95
Ste 39
Bullhead City, AZ 86442
Phone (928) 704-1302

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1720429582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 WOODMONT ESTATES CT",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312151",
            "telephone_number": "314-406-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HIGHWAY 95 STE 39",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427896",
            "telephone_number": "314-406-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "930, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "CEESAY",
        "authorized_official_first_name": "NDEYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-406-6136"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IN-HOME CAREGIVING, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.