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RODTREE WEST NPI 1134457336


NPI Information

NPI: 1134457336
Provider Name: RODTREE WEST
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
12379 W CAMPBELL AVE
AVONDALE, AZ
ZIP 85392
Phone: (602) 690-1643
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RODTREE WEST is an in home supportive care in Avondale, AZ. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. RODTREE WEST NPI is 1134457336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12379 W CAMPBELL AVE
AVONDALE, AZ
ZIP 85392-298
Phone: (602) 690-1643

The provider's authorized official is Rodney Pearson .
The authorized official title is Owner/ and has the following contact phone number (602) 690-1643.

The enumeration date for this NPI number is 11/27/2009 and was last updated on 11/27/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistARIZONANo
2252Y00000XEarly Intervention Provider AgencyARIZONANo
3320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesARIZONANo
4253Z00000XIn Home Supportive CareARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1303384MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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