STATESERV HOMECARE LLC (NPI# 1447277264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447277264 |
| Entity Type | Organization |
| Organization Name | STATESERV HOMECARE LLC |
| Other Organization Name | STATESERV MEDICAL LLC |
| Practice Address |
2130 E University Dr Tempe AZ 85281-4607 |
| Practice Telephone | 4809669730 |
| Practice Fax Number | 8662800415 |
| Mailing Telephone | 4809669730 |
| Mailing Fax Number | 8662800415 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-02-17 |
| NPI Deactivation Date | 10/23/2019 |
| NPI Reactivation Date | 2020-02-17 |
| Authorized Official Name | MR. CHRIS ROODE (VICE PRESIDENT) |
| Authorized Official Telephone | 4809669738 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE STATESERV COMPANIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
AZ | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| StateServ Medical LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437345519 | Stateserv Homecare LLC | Durable Medical Equipment & Medical Supplies | 6185 S. Valley View Blvd., Las Vegas, NV 89118 | 2007-09-21 |
| Street Address |
2130 E UNIVERSITY DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807052 | Thomas Langer | Specialist/Technologist | 1317 S Terrace Rd, Box #156, Tempe, AZ 85281 | 2020-10-02 |
| 1073124525 | Cinthia Guadalupe Arredondo Paramo | Nurse Practitioner | 1840 W. Broadway Rd., Tempe, AZ 85281 | 2020-08-10 |
| 1780219451 | Margaret Corbett | Specialist/Technologist | 500 East Veterans Way, Tempe, AZ 85281 | 2020-03-03 |
| 1457990913 | Renee Marie Rundle | Nurse Practitioner | 1750 E. University, Tempe, AZ 85281 | 2020-01-02 |
| 1265904932 | Halah Alateeq | Speech-Language Pathologist | Asu Speech & Hearing Clinic 975 S Myrtle Ave, Tempe, AZ 85281 | 2018-12-19 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1922501840 | Sydney Blankenship | Physical Therapist | 260 E Rio Salado Pkwy, Apt 2045, Tempe, AZ 85281 | 2018-03-16 |
| 1609376698 | Agnes' Centers for Domestic Solutions | Community/Behavioral Health | 455 S 48th Street, 106, Tempe, AZ 85281 | 2018-02-15 |
| 1053826636 | Marta Solano | Nurse Practitioner | 415 S 48th St Ste 107, Tempe, AZ 85281 | 2017-12-05 |
| 1578085551 | Invitro Genetics Arizona | Clinical Medical Laboratory | 437 S. 48th Street, Suite 106, Tempe, AZ 85281 | 2017-07-12 |
| Find all providers in zip 85281 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285193417 | Eric A Heap Dds PC | Durable Medical Equipment & Medical Supplies | 2125 E Warner Rd Ste 101, Tempe, AZ 85284-3490 | 2019-03-18 |
| 1679054886 | 924 Holdings, Inc | Durable Medical Equipment & Medical Supplies | 437 S 48th St Ste 107, Tempe, AZ 85281-2308 | 2018-08-25 |
| 1871099663 | Mayo Clinic Arizona | Durable Medical Equipment & Medical Supplies | 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 | 2018-04-02 |
| 1356889513 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 909 E Apache Blvd, Tempe, AZ 85281-5817 | 2017-02-08 |
| 1255879854 | Afc of Tempe Pllc | Durable Medical Equipment & Medical Supplies | 2145 E Warner Rd, Ste 104, Tempe, AZ 85284-3548 | 2017-02-03 |
| 1871038034 | Breg, Inc. | Durable Medical Equipment & Medical Supplies | 1860 W University Dr, Suite 103, Tempe, AZ 85281-3247 | 2016-12-27 |
| 1528511425 | Soleo Health Inc | Durable Medical Equipment & Medical Supplies | 415 S 48th Street, Suite 101, Tempe, AZ 85281-2358 | 2016-07-27 |
| 1467826263 | Elitecare,llc | Durable Medical Equipment & Medical Supplies | 2153 E Cedar St, Suite 1, Tempe, AZ 85281-7411 | 2015-11-17 |
| 1104230176 | Soleo Health Inc. | Durable Medical Equipment & Medical Supplies | 415 S 48th St, Suite 101, Tempe, AZ 85281-2357 | 2014-06-17 |
| 1568800191 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 926 E Broadway Rd, Tempe, AZ 85282-1502 | 2013-06-05 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.