Organization Active NPI

Gwen's Advance Care

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1790256535
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GWEN'S ADVANCE CARE
Practice address
1635 E Baseline Rd Ste 109
Phoenix, AZ 85042-6891
Phone
(602) 595-5707
Fax
(602) 595-7147
NPI assigned
Dec 5, 2018
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Valerie Joline Lopez, RN, BSN
Title
Care Coordinator
Phone
(602) 595-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1635 E Baseline Rd Ste 109
Phoenix, AZ 85042-6891

Mailing address

1635 E Baseline Rd Ste 109
Phoenix, AZ 85042-6891
Phone (602) 595-5707

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL valeriel@agwensadvancedcare.com Direct

National Provider Directory

National Provider Directory

Locations

1635 E Baseline Rd
Ste 109
Phoenix, AZ 85042
Phone (602) 595-5707

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1790256535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E BASELINE RD STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426891",
            "telephone_number": "602-595-5707",
            "fax_number": "602-595-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E BASELINE RD STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426891",
            "telephone_number": "602-595-5707",
            "fax_number": "602-595-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN'S ADVANCE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JOLINE",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "602-595-5707",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "valeriel@agwensadvancedcare.com",
            "affiliation": "N",
            "endpointDescription": "valeriel@gwensadvancedcare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1635 E Baseline Rd Ste 109",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850426891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.