Pimacare at Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PIMACARE AT HOME

Doing business as

Pima Care At Home

Practice address

600 S Country Club Rd
Tucson, AZ 85716-5807

Phone

(520) 305-3445

Fax

(520) 289-8920

NPI assigned

Jan 5, 2022

Last updated

May 2, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PIMA COUNCIL ON AGING, INCAs reported in NPPES

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

Authorized official

Name

Mr. Wendell Mark Clark, MSW

Title

President and Ceo

Phone

(520) 258-5068

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pima Care At Home Doing business as

Part of

Pima Council on Aging Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pima Council on Aging, Inc

  • Community Health Worker
  • Tucson, AZ
  • NPI 1700174620
  NPPES parent name

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1992466510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8467 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104009",
            "telephone_number": "520-305-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857165807",
            "telephone_number": "520-305-3445",
            "fax_number": "520-289-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMACARE AT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIMA COUNCIL ON AGING, INC",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "520-258-5068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pima Care At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Veronica Pimienta, MD
• Cristobal Daniel Pina, PHARMD
• Joel Pina, PHARMD
• Maria Eugenia Pina, MD

• In Home Supportive Care Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.