Life Care at Home of Arizona, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA 1446 Issued in AZ

Legal business name

LIFE CARE AT HOME OF ARIZONA, INC.

Practice address

1661 E Camelback Rd
Suite 255
Phoenix, AZ 85016-3911

Phone

(480) 991-3303

Fax

(480) 922-4944

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Pam Rau

Title

VP of Finance

Phone

(423) 473-5280

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Susan Elizabeth Kelly, OTR L

  • Occupational Therapist
  • Scottsdale, AZ
  • NPI 1740485002
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1740271733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5256",
            "fax_number": "423-339-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 E CAMELBACK RD",
            "address_2": "SUITE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163911",
            "telephone_number": "480-991-3303",
            "fax_number": "480-922-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE AT HOME OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "423-473-5280"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA 1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scot Liepack, PHD
• Teryn Lies
• Daniel Lieu, O.D.;
• Sally Lieu, PHARM.D.
• Life Care at Home of Arizona Inc (Affinity Hospice of Life)
• Life Care Centers of America, Inc. (Life Care Center of South Mountain)
• Life Care Centers of America, Inc. (Life Care Center of Paradise Valley)
• Life Challenge, Inc.
• Life Change Corp
• Life Changing Home Care Services LLC

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.