Rescare Residential Services Arizona, LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

RESCARE RESIDENTIAL SERVICES ARIZONA, LLC

Doing business as

A Place to Call Home

Practice address

1830 S Alma School Rd Ste 122
Mesa, AZ 85210-3087

Phone

(480) 456-0549

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary A Pank

Title

Paralegal

Phone

(502) 420-2666

Specialties & licenses 1

Addresses

Other names 1

• A Place to Call Home Doing business as

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1851801690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103087",
            "telephone_number": "480-456-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE RESIDENTIAL SERVICES ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "PANK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "502-420-2666"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place to Call Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.