Dixie Rose Enterprises

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DIXIE ROSE ENTERPRISES

Practice address

6101 S Rural Rd
#117
Tempe, AZ 85283-2910

Phone

(480) 887-0322

NPI assigned

Sep 2, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael D Stinson

Title

Owner/General Manager

Phone

(480) 887-0322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Homewatch CareGivers of Tempe and Sun Lakes Doing business as

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1861949174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD",
            "address_2": "#117",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "480-887-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD",
            "address_2": "#117",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "480-887-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE ROSE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "480-887-0322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052475",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers of Tempe and Sun Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.