Organization Active NPI

Flagstaff Az Caregiving LLC

  • In Home Supportive Care Agency
  • Flagstaff, AZ
National Provider Identifier
1871377101
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FLAGSTAFF AZ CAREGIVING LLC
Practice address
5200 E Cortland Blvd Ste B6
Flagstaff, AZ 86004-9339
Phone
(928) 220-8225
NPI assigned
Aug 18, 2023
Organization subpart
Yes
Parent organization
CORNERSTONE CAREGIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Michael Hillman
Title
Owner
Phone
(254) 503-5233

Specialties & licenses 1

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

Addresses

Primary practice location

5200 E Cortland Blvd Ste B6
Flagstaff, AZ 86004-9339

Mailing address

2612 Washington Ave Ste 1
Waco, TX 76710-7469

Other names 1

  • Cornerstone Caregiving Other name

National Provider Directory

National Provider Directory
Part of
Cornerstone Caregiving LLC

Locations

111 E Aspen Ave
Ste 300
Flagstaff, AZ 86001

5200 E Cortland Blvd
Ste B6
Flagstaff, AZ 86004
Phone (928) 220-8225

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1871377101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 WASHINGTON AVE STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 E CORTLAND BLVD STE B6",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049339",
            "telephone_number": "928-220-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF AZ CAREGIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CAREGIVING LLC",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-503-5233"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.