Active NPI
Tanesha Holland
- Home Health Aide
- Maricopa, AZ
National Provider Identifier
1053027979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 42537 W Santa Fe St
Maricopa, AZ 85138-4386 - Phone
- (520) 340-1812
- NPI assigned
- Jan 24, 2023
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary | |
| Homemaker | 376J00000X | NU |
Addresses
Primary practice location
42537 W Santa Fe St
Maricopa, AZ 85138-4386
Mailing address
42537 W Santa Fe St
Maricopa, AZ 85138-4386
Phone (520) 340-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Care Consultants | Home Health Aide | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Aide
- Maricopa, AZ
- NPI 1952003345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1053027979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42537 W SANTA FE ST",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851384386",
"telephone_number": "520-340-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42537 W SANTA FE ST",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851384386",
"telephone_number": "520-340-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "TANESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.