Az At Home Inc

LBN: Az At Home Inc
Az At Home Inc is an health care organization with primary practice located at 12630 N 103Rd Ave Ste 142 , Sun City AZ 85351-3463. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Az At Home Inc can be contacted via phone (480) 275-2022, or through Green, Thomas Alan via phone (480) 275-2022.

Contact Information

Primary practice address
12630 N 103Rd Ave Ste 142 Sun City AZ 85351-3463
Phone: (480) 275-2022
Fax: (888) 551-6092
Website:
Map and Directions
Authorized official contact:
Name: Green, Thomas Alan FNP-BC
Phone: (480) 275-2022

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN078764 Arizona

Profile Details

NPI number 1548643836
LBN Legal business name Az At Home Inc
DBA Doing business as
Authorized official Green, Thomas Alan FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2015
Last updated Feb 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548643836 NPPES
Arizona MEDICAID 031189
Arizona MEDICAID 769044

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