Organization Active NPI

Nativeaz LLC

  • In Home Supportive Care Agency
  • Tempe, AZ
National Provider Identifier
1750520763
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
N/A Issued in AZ
Legal business name
NATIVEAZ LLC
Practice address
5470 S Lakeshore Dr Ste 101
Tempe, AZ 85283-2173
Phone
(480) 446-0767
Fax
(480) 247-5299
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Ms. Connie S. Thompson, R.N.
Title
Member/Owner
Phone
(480) 446-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X N/A AZ Primary

Addresses

Primary practice location

5470 S Lakeshore Dr Ste 101
Tempe, AZ 85283-2173

Mailing address

5470 S Lakeshore Dr Ste 101
Tempe, AZ 85283-2173
Phone (480) 446-0767

Other names 1

  • ACC Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

5470 S Lakeshore Dr
Ste 101
Tempe, AZ 85283
Phone (480) 446-0767

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1750520763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 S LAKESHORE DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832173",
            "telephone_number": "480-446-0767",
            "fax_number": "480-247-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 S LAKESHORE DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832173",
            "telephone_number": "480-446-0767",
            "fax_number": "480-247-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVEAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "480-446-0767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACC Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.