Organization Active NPI

Aspen Homecare Service, LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1740619345
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ASPEN HOMECARE SERVICE, LLC
Practice address
20 S Power Rd
Suite 103
Mesa, AZ 85206-9800
Phone
(480) 264-5051
Fax
(480) 264-5052
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Pauline Patricia Bundgaard
Title
Owner Manager
Phone
(480) 264-5051

Specialties & licenses 1

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

Addresses

Primary practice location

20 S Power Rd
Suite 103
Mesa, AZ 85206-9800

Mailing address

20 S Power Rd
Suite 103
Mesa, AZ 85206-9800
Phone (480) 264-5051

National Provider Directory

National Provider Directory

Locations

20 S Power Rd
Ste 103
Mesa, AZ 85206
Phone (480) 264-5051

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1740619345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S POWER RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852069800",
            "telephone_number": "480-264-5051",
            "fax_number": "480-264-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S POWER RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852069800",
            "telephone_number": "480-264-5051",
            "fax_number": "480-264-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN HOMECARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BUNDGAARD",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "480-264-5051"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.