NPIMap

Organization Active NPI

Southern Arizona Home Care

  • In Home Supportive Care Agency
  • Tubac, AZ
National Provider Identifier
1821611583
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOUTHERN ARIZONA HOME CARE
Practice address
2243 E Frontage Road
Suite 1
Tubac, AZ 85646-8564
Phone
(520) 261-8716
Fax
(520) 844-6913
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Carrie Klaege
Title
Owner
Phone
(520) 261-8716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2243 E Frontage Road
Suite 1
Tubac, AZ 85646-8564

Mailing address

PO Box 4991
Tubac, AZ 85646-4991
Phone (520) 261-8716

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1821611583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4991",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "856464991",
            "telephone_number": "520-261-8716",
            "fax_number": "520-844-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 E FRONTAGE ROAD",
            "address_2": "SUITE 1",
            "city": "TUBAC",
            "state": "AZ",
            "postal_code": "856468564",
            "telephone_number": "520-261-8716",
            "fax_number": "520-844-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "KLAEGE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-261-8716"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tubac, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.