Purple Starfish Enterprises LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

BH5250 Issued in AZ

Legal business name

PURPLE STARFISH ENTERPRISES LLC

Doing business as

Eagle Pointe Community Respite Services

Practice address

5428 N Mesquite Bosque Way
Tucson, AZ 85704-1759

Phone

(520) 869-1737

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karena CasonNPI 1457877052

Title

Administrator

Phone

(520) 869-1737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eagle Pointe Community Respite Services Doing business as

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.

• Karena Cason, MA, LAC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1457877052

  Respite Care

  NPD (past) Authorized official

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1740708759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 N MESQUITE BOSQUE WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 N MESQUITE BOSQUE WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041759",
            "telephone_number": "520-869-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE STARFISH ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "KARENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-869-1737"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH5250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH5250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Pointe Community Respite Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Purvis

• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.