Organization Active NPI

Arizona Home Care LLC

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1871860171
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA0268 Issued in AZ
Legal business name
ARIZONA HOME CARE LLC
Practice address
2502 N 1St Ave Ste 100
Tucson, AZ 85719-2909
Phone
(602) 252-5000
Fax
(602) 323-5070
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Vickie Erickson, RN
Title
Don
Phone
(602) 252-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA0268 AZ Primary

Addresses

Primary practice location

2502 N 1St Ave Ste 100
Tucson, AZ 85719-2909

Mailing address

2502 N 1St Ave Ste 100
Tucson, AZ 85719-2909
Phone (602) 252-5000

Other identifiers 1

IdentifierTypeStateIssuer
037199OtherAZMEDICARE PART A PTAN

National Provider Directory

National Provider Directory
Tax ID family
Arizona Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2502 N 1st Ave
Ste 100
Tucson, AZ 85719
Phone (602) 252-5000

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1871860171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192909",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N 1ST AVE STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192909",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "602-252-5000",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A PTAN",
            "identifier": "037199",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.