1700956489 NPI number — ALARYS HOME HEALTH, INC.

Table of content: (NPI 1700956489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700956489 NPI number — ALARYS HOME HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALARYS HOME HEALTH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AFFINITY HOME HEALTH, INC.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700956489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4250 NORTH DRINKWATER BLVD
Provider Second Line Business Mailing Address:
SUITE 165
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-444-7772
Provider Business Mailing Address Fax Number:
480-444-7769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4250 N DRINKWATER BLVD
Provider Second Line Business Practice Location Address:
SUITE 165
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-444-7772
Provider Business Practice Location Address Fax Number:
480-444-7769
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SILK
Authorized Official First Name:
KYLE
Authorized Official Middle Name:
THOMAS
Authorized Official Title or Position:
PRESIDENT & COO
Authorized Official Telephone Number:
480-444-7772

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA4068 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HHA4068 . This is a "AZ DEPARTMENT OF HEALTH" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 444656 . This is a "JCAHO ACCREDITATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 340458 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: HHA4068 . This is a "ARIZONA DEPARTMENT OF HEALTH SERVICES: LICENSED HOME HEALTH AGENCY" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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