Nursecore Management Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA275 Issued in AZ

Legal business name

NURSECORE MANAGEMENT SERVICES LLC

Practice address

300 W Clarendon Ave Ste 340
Phoenix, AZ 85013-3499

Phone

(602) 274-3400

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Lollar

Title

President/Ceo

Phone

(817) 649-1166

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• NURSECORE OF PHOENIX Doing business as

Listed as

Nursecore of PhoenixCCN 037205

Ownership

Proprietary

Certified

Mar 6, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1801838271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201925",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760061925",
            "telephone_number": "817-649-1166",
            "fax_number": "817-649-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133499",
            "telephone_number": "602-274-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSECORE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "LOLLAR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "817-649-1166"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7201",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENTIVA",
            "identifier": "156107",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APIPA",
            "identifier": "PHH190030011",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378978",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378978-23",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0701860",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSECORE OF PHOENIX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Phoenix, AZ
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• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.