Hyde Park Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA5794 Issued in AZ

Legal business name

HYDE PARK HOME HEALTHCARE

Practice address

14850 N Scottsdale Rd
#450-B
Scottsdale, AZ 85254-2798

Phone

(480) 250-0304

Fax

(480) 237-8770

NPI assigned

Sep 2, 2014

Last updated

Sep 2, 2014By 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

Jan Shafer

Title

Administrator

Phone

(623) 330-2838

Specialties & licenses 1

Addresses

Tax ID family

Hyde Park Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medical Supplies of Scottsdale

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1538560610
  NPD tax ID

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1780084301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 N SCOTTSDALE RD",
            "address_2": "#450-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542798",
            "telephone_number": "480-250-0304",
            "fax_number": "480-237-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 N SCOTTSDALE RD",
            "address_2": "#450-B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542798",
            "telephone_number": "480-250-0304",
            "fax_number": "480-237-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-330-2838"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA5794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Susie Hwang, MD
• Stephen S Hwang, MD
• HWW3, LLC
• Jordan Hyames
• Hybritech Medical Group Corporation (MyMD-Now)
• William J Hyde, MD
• Rosalie Rita Hydock, PHD
• Ian Maximus Hyland, PMHNP-BC
• Kelly Ann Hylton, PHARM.D.
• Valerie Hymer, PA-C

• Home Health Agency in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.