The Home Care Solution LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

799489 Issued in AZ

Legal business name

THE HOME CARE SOLUTION LLC

Practice address

18 Kaibeto Drive
Window Rock, AZ 86515

Phone

(928) 871-5498

Fax

(928) 871-2501

NPI assigned

Jun 16, 2008

Last updated

Jul 11, 2012By 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

Mr. Wallace Saltclah

Title

Ceo

Phone

(928) 871-5498

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1871753533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865150624",
            "telephone_number": "928-871-5498",
            "fax_number": "928-871-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KAIBETO DRIVE",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "86515",
            "telephone_number": "928-871-5498",
            "fax_number": "928-871-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME CARE SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "SALTCLAH",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-871-5498",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "799489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.