Active NPI
SC Care Services LLC
- In Home Supportive Care Agency
- Sierra Vista, AZ
National Provider Identifier
1740345735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 948432 | Medicaid | AZ |
Other names 1
- Comfort Keepers #194
National Provider Directory
National Provider DirectoryLocations
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.