Organization Active NPI

Pabsco Las

Doing business as Visiting Angels East Valley

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1841613742
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PABSCO LAS
Doing business as
Visiting Angels East Valley
Practice address
701 W Southern Ave Ste 103
Mesa, AZ 85210-5011
Phone
(480) 833-8247
Fax
(480) 833-5514
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mr. Bob Dailey
Title
Executive Director
Phone
(480) 833-8247

Specialties & licenses 1

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

Addresses

Primary practice location

701 W Southern Ave Ste 103
Mesa, AZ 85210-5011

Mailing address

701 W Southern Ave Ste 103
Mesa, AZ 85210-5011
Phone (480) 833-8247

Other names 1

  • Visiting Angels East Valley Doing business as

National Provider Directory

National Provider Directory

Locations

701 W Southern Ave
Ste 103
Mesa, AZ 85210
Phone (480) 833-8247

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1841613742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105011",
            "telephone_number": "480-833-8247",
            "fax_number": "480-833-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105011",
            "telephone_number": "480-833-8247",
            "fax_number": "480-833-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABSCO LAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-833-8247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels East Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

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