NPIMap

Organization Active NPI

SDX Home Care Operations, LLC

  • In Home Supportive Care Agency
  • Lake Havasu City, AZ
National Provider Identifier
1861907917
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SDX HOME CARE OPERATIONS, LLC
Practice address
2250 McCulloch Blvd N Ste C
Lake Havasu City, AZ 86403-5988
Phone
(928) 855-0005
NPI assigned
Dec 12, 2017
Organization subpart
Yes
Parent organization
SDX HOME CARE OPERATIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Ruth Azanki
Title
VP of Finance
Phone
(949) 621-9649

Specialties & licenses 1

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

Addresses

Primary practice location

2250 McCulloch Blvd N Ste C
Lake Havasu City, AZ 86403-5988

Mailing address

2935 Maricopa Ave Ste 202
Lake Havasu City, AZ 86406-9290
Phone (928) 855-0005

National Provider Directory

National Provider Directory
Tax ID family
SDX Home Care Operations LLC40 organizations share this tax ID, including this one
Part of
SDX Home Care Operations LLC

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

2250 McCulloch Blvd N
Ste C
Lake Havasu City, AZ 86403
Phone (928) 855-0005

2935 Maricopa Ave
Ste 202
Lake Havasu City, AZ 86406

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1861907917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 MARICOPA AVE STE 202",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864069290",
            "telephone_number": "928-855-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MCCULLOCH BLVD N STE C",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035988",
            "telephone_number": "928-855-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDX HOME CARE OPERATIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDX HOME CARE OPERATIONS, LLC",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "AZANKI",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "949-621-9649"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.