ARIZONA SENIOR HOME CARE, LLC


Address: 2105 Highway 60 Ste 103, Miami, AZ 85539-8731
Phone: 9284254663

ARIZONA SENIOR HOME CARE, LLC (NPI# 1548529373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548529373
Entity Type Organization
Organization Name ARIZONA SENIOR HOME CARE, LLC
Practice Address 2105 Highway 60 Ste 103
Miami
AZ 85539-8731
Practice Telephone 9284254663
Practice Fax Number 8008329131
Mailing Telephone 9284254663
Mailing Fax Number 8008329131
Enumeration Date 2012-05-14
Last Update Date 2015-01-16
Authorized Official Name MRS. LISA ELLEN KENNEDY (CEO)
Authorized Official Telephone 9288534486
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 2105 HIGHWAY 60 STE 103
City MIAMI
State AZ
Zip Code 85539-8731

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1346475415 Barnet Dulaney Perkins Eye Center Globe Optometrist 2250 E. Hwy 60, Suite D, Miami, AZ 85539 2009-05-19
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1649524968 Thema Management Company Nurse Practitioner 2123 Sunset Pt, Suite B3, Miami, AZ 85539-1347 2012-11-08
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1710920301 David L Rice Counselor 1478 Cherry Ave, Miami, AZ 85539-8725 2006-06-13
1871893396 Larry Perlstein Pharmacist 2115 Highway 60, Miami, AZ 85539-8743 2010-11-01
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City MIAMI
Zip Code 85539

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Dataset Information

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.

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