Active NPI
Wickenburg Home Care
- Chore Provider
- Wickenburg, AZ
National Provider Identifier
1073722765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- L13325529
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | L13325529 | AZ | Primary |
| Home Health Aide | 374U00000X | L13325529 | AZ | |
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198634 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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
- Rebecca Suzanne Walpole, FNP
- Christoper Alan Warren, NRP, FP-C, CCP-C
- Conor Westerman, PMHNP
- Wickenburg Diabetes & Wound Care Center LLC
- Wickenburg Healthcare Alliance Inc (WHA Medical)
- Wickenburg Hospital Pharmacy
- Wickenburg Unified School District #9
- Rachel Willis
- Cheryl Wolfe-Ruiz, P.A.-C
- Kenneth Worlanyo Wutoh, PT, DPT, CKPI
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.