Milesbrook, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MILESBROOK, LLC

Practice address

4915 W Bell Rd Ste 209
Glendale, AZ 85308-3468

Phone

(623) 242-1994

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Ketha Bonadie

Title

Director of Operations

Phone

(623) 242-1994

Specialties & licenses 1

Addresses

Other names 1

• Senior Helpers of Glendale Doing business as

Locations

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1114587102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 W BELL RD STE 209",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083468",
            "telephone_number": "623-242-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 W BELL RD STE 209",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083468",
            "telephone_number": "623-242-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESBROOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "BONADIE",
        "authorized_official_first_name": "KETHA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "623-242-1994"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers of Glendale",
            "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 Jun 20, 2019; 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.