Eight Angels Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EIGHT ANGELS HOME HEALTH LLC

Practice address

1930 S Alma School Rd Ste B106
Mesa, AZ 85210-3040

Phone

(480) 590-0239

Fax

(480) 590-0653

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Benjamin Navarro Pua

Title

Owner

Phone

(480) 878-8918

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1053964593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE B106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103040",
            "telephone_number": "480-590-0239",
            "fax_number": "480-590-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE B106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103040",
            "telephone_number": "480-590-0239",
            "fax_number": "480-590-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHT ANGELS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2020-11-25",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "PUA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "NAVARRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-878-8918"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "007454",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kinnser.net",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1930 S Alma School Rd Ste B106",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852103040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ini Ekpo, MD

• All providers in Mesa, AZ
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.