Provider Type Icon

PIMACARE AT HOME NPI 1992466510


NPI Information

NPI: 1992466510
Provider Name: PIMACARE AT HOME

Doing Business As: PIMA CARE AT HOME

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
600 S COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716
Phone: (520) 305-3445
Get Directions

PIMACARE AT HOME is an in home supportive care in Tucson, 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. PIMACARE AT HOME NPI is 1992466510. The provider is registered as an organization entity type.
The provider Is Doing Business As Pima Care At Home.

The provider's business location address is:

600 S COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716-807
Phone: (520) 305-3445
Fax: (520) 289-8920

The provider's authorized official is Wendell Mark Clark .
The authorized official title is President And Ceo and has the following contact phone number (520) 258-5068.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 5/2/2023.


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 CareYes

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
1578717MEDICAIDARIZONA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.