Close to Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CLOSE TO HOME LLC

Doing business as

Close To Home

Practice address

6529 W Glendale Ave Apt 1107
Glendale, AZ 85301-2331

Phone

(602) 583-5406

NPI assigned

Dec 27, 2023

Last updated

Feb 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amerish K WarrenNPI 1285372466

Title

Owner, Ceo

Phone

(160) 258-3540

Specialties & licenses 5

Addresses

Other names 1

• Close To Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amerish Warren

  • Behavior Technician
  • Farmington Hills, MI
  • NPI 1285372466
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1073382362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 W GLENDALE AVE APT 1107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 W GLENDALE AVE APT 1107",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012331",
            "telephone_number": "602-583-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOSE TO HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "AMERISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "160-258-3540"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Close To Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Close To Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.