Active NPI
A & H Home-Care LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1083323067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- A & H HOME-CARE LLC
- Doing business as
- A & H Home-Care LLC
- Practice address
- 3013 W Pollack St
Phoenix, AZ 85041-6380 - Phone
- (612) 991-9250
- NPI assigned
- Nov 18, 2022
- Last updated
- Nov 18, 2022
- 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
- Mr. Owolabi Patrick Shabiolegbe
- Title
- Administrator
- Phone
- (612) 991-9250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
3013 W Pollack St
Phoenix, AZ 85041-6380
Mailing address
3013 W Pollack St
Phoenix, AZ 85041-6380
Phone (612) 991-9250
Other names 1
- A & H Home-Care LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668729600000",
"number": "1083323067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 W POLLACK ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416380",
"telephone_number": "612-991-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 W POLLACK ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416380",
"telephone_number": "612-991-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A & H HOME-CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A",
"authorized_official_last_name": "SHABIOLEGBE",
"authorized_official_first_name": "OWOLABI",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "612-991-9250",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A & H Home-Care LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.