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TRADITIONAL HOME CARE NPI 1669728713


NPI Information

NPI: 1669728713
Provider Name: TRADITIONAL HOME CARE
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1/4 MILE N. TWO STORY RD.
RA #31
ST. MICHAELS, AZ
ZIP 86511
Phone: (928) 871-5021
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TRADITIONAL HOME CARE is an in home supportive care in St. Michaels, 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. TRADITIONAL HOME CARE NPI is 1669728713. The provider is registered as an organization entity type.

The provider's business location address is:

1/4 MILE N. TWO STORY RD.
RA #31
ST. MICHAELS, AZ
ZIP 86511
Phone: (928) 871-5021
Fax: (928) 810-3998

The provider's authorized official is Lula M Nez .
The authorized official title is Owner and has the following contact phone number (928) 871-5021.

The enumeration date for this NPI number is 7/26/2012 and was last updated on 7/26/2012.


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
1253Z00000XIn Home Supportive Care415780ARIZONAYes

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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