Spectrum Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3953 Issued in AZ

Legal business name

SPECTRUM HOME HEALTH CARE, LLC

Practice address

840 W University Dr
Suite #3
Mesa, AZ 85201-5529

Phone

(480) 430-3052

Fax

(480) 452-1811

NPI assigned

May 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daren Todd Povar, PT

Title

Owner/Administrator

Phone

(480) 430-3052

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1053360644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 E QUEENSBOROUGH AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852124091",
            "telephone_number": "480-430-3052",
            "fax_number": "480-452-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W UNIVERSITY DR",
            "address_2": "SUITE #3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015529",
            "telephone_number": "480-430-3052",
            "fax_number": "480-452-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "POVAR",
        "authorized_official_first_name": "DAREN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-430-3052",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.