Tylers Place Az Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TYLERS PLACE AZ INC

Practice address

1823 E Queen Creek Rd Ste 4
Chandler, AZ 85286-2018

Phone

(480) 794-9984

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Robert Anasagasti

Title

Ceo

Phone

(602) 309-1600

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1912640673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S GILBERT RD STE 211",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861595",
            "telephone_number": "480-794-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 E QUEEN CREEK RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862018",
            "telephone_number": "480-794-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLERS PLACE AZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "ANASAGASTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-309-1600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "1588904379",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPIST",
            "identifier": "1477219210",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@tylersplaceaz.org",
            "affiliation": "N",
            "endpointDescription": "desktop computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1823 E Queen Creek Rd Ste 4",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852862018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Christopher Jovan Tyler
• Samuel Oluwaseun Tytler, M.D.
• Ucr Healthcare, LLC
• Ucr Medical Group PLLC
• Ucxtra Umbrella, LLC
• Adrienne Udarbe, RDN

• Home Health Agency in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.