Troy Berkley, HOME HEALTH AID
Individual provider Active NPI Case Manager/Care Coordinator · Phoenix, AZ
NPI 1104483460 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1104483460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- AL10509H (AZ)
- Practice address
- 18210 N 29TH St
Phoenix, AZ 85032-1103 - Phone
- (480) 302-1101
- Fax
- (480) 546-3131
- NPI assigned
- May 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL10509H | AZ | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle on 29TH Street | Case Manager/Care Coordinator | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AL10509H | AZ | Yes |
Addresses
Primary practice location
18210 N 29TH St
Phoenix, AZ 85032-1103
Mailing address
18210 N 29TH St
Phoenix, AZ 85032-1103
Phone (480) 302-1101
Other providers in Phoenix, AZ
- Sara Elizabeth Bergquist
- Ann Marie Bergren
- Harli Reese Berk
- Erik Earl Berkley
- Patricia Berkley
- Michael Berkshire
- Stephanie Berkshire
- Ethan Berkson
- Anthony Berland
- Cynthia Berland
All providers in Phoenix, AZ · Case Manager/Care Coordinator in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.