Organization Active NPI

Wickenburg Home Care

  • Chore Provider
  • Wickenburg, AZ
National Provider Identifier
1073722765
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
L13325529 Issued in AZ
Legal business name
WICKENBURG HOME CARE
Practice address
1020 W Wickenburg Way
Ste 4
Wickenburg, AZ 85390-3290
Phone
(928) 684-3201
Fax
(928) 684-0684
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Lafaye J House
Title
Bookkeeper
Phone
(928) 684-3201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X L13325529 AZ Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X L13325529 AZ
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X L13325529 AZ

Addresses

Primary practice location

1020 W Wickenburg Way
Ste 4
Wickenburg, AZ 85390-3290

Mailing address

PO Box 20237
Wickenburg, AZ 85358-5237
Phone (928) 684-3201

Other identifiers 1

IdentifierTypeStateIssuer
198634MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1020 W Wickenburg Way
Ste 4
Wickenburg, AZ 85390
Phone (928) 684-3201

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073722765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20237",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853585237",
            "telephone_number": "928-684-3201",
            "fax_number": "928-684-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W WICKENBURG WAY",
            "address_2": "STE 4",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903290",
            "telephone_number": "928-684-3201",
            "fax_number": "928-684-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKENBURG HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "LAFAYE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "928-684-3201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": "AZ",
            "license": "L13325529",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": "L13325529",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "AZ",
            "license": "L13325529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198634",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.