Arizona Specialty Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3036157 Issued in AZ

Legal business name

ARIZONA SPECIALTY HOME CARE LLC

Practice address

890 W Grant Rd Ste a
Tucson, AZ 85705-5307

Phone

(520) 283-1765

Fax

(520) 623-3179

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Mona Lisa Abeyta

Title

Director of Operations

Phone

(520) 283-1765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1871094714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W GRANT RD STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055307",
            "telephone_number": "520-283-1765",
            "fax_number": "520-623-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W GRANT RD STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857055307",
            "telephone_number": "520-283-1765",
            "fax_number": "520-623-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SPECIALTY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "ABEYTA",
        "authorized_official_first_name": "MONA LISA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "520-283-1765",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "3036157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Tucson, AZ
• Providers in Tucson, 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 Feb 26, 2018; 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.