Organization Active NPI

Home Sweet Home Care Services

  • In Home Supportive Care Agency
  • Chinle, AZ
National Provider Identifier
1972858066
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
695737 Issued in AZ
Legal business name
HOME SWEET HOME CARE SERVICES
Practice address
1 Mile S. of Old Selina Store
Chinle, AZ 86503
Phone
(928) 675-0645
Fax
(928) 729-5115
NPI assigned
Jul 16, 2012
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Ms. Tanya G Jones
Title
Owner
Phone
(928) 675-0645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 695737 AZ Primary

Addresses

Primary practice location

1 Mile S. of Old Selina Store
Chinle, AZ 86503

Mailing address

PO Box 3229
Chinle, AZ 86503-3229
Phone (928) 675-0645

Other identifiers 1

IdentifierTypeStateIssuer
695737MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1972858066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3229",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865033229",
            "telephone_number": "928-675-0645",
            "fax_number": "928-729-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILE S. OF OLD SELINA STORE",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "86503",
            "telephone_number": "928-675-0645",
            "fax_number": "928-729-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-675-0645",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "695737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.