Organization Active NPI

SC Care Services LLC

  • In Home Supportive Care Agency
  • Sierra Vista, AZ
National Provider Identifier
1740345735
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SC CARE SERVICES LLC
Doing business as
Comfort Keepers #194
Practice address
3965 E. Foothills Drive
Suite F
Sierra Vista, AZ 85635-4252
Phone
(520) 417-2000
Fax
(520) 417-2012
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Ms. Sandra Chancellor
Title
General Manager/Owner
Phone
(520) 417-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3965 E. Foothills Drive
Suite F
Sierra Vista, AZ 85635-4252

Mailing address

3965 E. Foothills Drive
Suite F
Sierra Vista, AZ 85635-4252
Phone (520) 417-2000

Other identifiers 1

IdentifierTypeStateIssuer
948432MedicaidAZ

Other names 1

  • Comfort Keepers #194 Doing business as

National Provider Directory

National Provider Directory

Locations

3965 E Foothills Dr
Ste F
Sierra Vista, AZ 85635
Phone (520) 417-2000

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1740345735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 E. FOOTHILLS DRIVE",
            "address_2": "SUITE F",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354252",
            "telephone_number": "520-417-2000",
            "fax_number": "520-417-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 E. FOOTHILLS DRIVE",
            "address_2": "SUITE F",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354252",
            "telephone_number": "520-417-2000",
            "fax_number": "520-417-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "GENERAL MANAGER/OWNER",
        "authorized_official_telephone_number": "520-417-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #194",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.