Arizona Handicab LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

33181 Issued in AZ

Legal business name

ARIZONA HANDICAB LLC

Practice address

2069 Yavapai St
Chino Valley, AZ 86323-5292

Phone

(928) 533-4638

Fax

(928) 636-8134

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Roger Bradley Eads

Title

Member

Phone

(928) 533-4638

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1831424449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 YAVAPAI ST",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235292",
            "telephone_number": "928-533-4638",
            "fax_number": "928-636-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 YAVAPAI ST",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235292",
            "telephone_number": "928-533-4638",
            "fax_number": "928-636-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HANDICAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-533-4638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "33181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "412854",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Cody Anderson, RN
• Martha Anderson
• Trudy Mae Anderson, RN
• Ruselle Janina Fider Aragon, RPH
• Arizona Devoted Homes LLC
• Megan Ashkanian, LPC
• Jason Layne Austin, DC
• Augustine Fella Aworuwa, BS PHARM
• Az Express Ride LLC
• Kimberly Faun Bailey, FNP-C

• Non-emergency Medical Transport (VAN) in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

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