Organization Active NPI

Rusticas Home Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1124969019
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RUSTICAS HOME CARE LLC
Practice address
4539 N 22ND St Ste 6339
Phoenix, AZ 85016-4639
Phone
(602) 960-5121
Fax
(602) 388-8107
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Bria Redmond
Title
Owner
Phone
(602) 960-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4539 N 22ND St Ste 6339
Phoenix, AZ 85016-4639

Mailing address

4539 N 22ND St Ste 6339
Phoenix, AZ 85016-4639

National Provider Directory

National Provider Directory

Locations

4539 N 22nd St
Ste 6339
Phoenix, AZ 85016
Phone (602) 960-5121

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1124969019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 6339",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 6339",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "602-960-5121",
            "fax_number": "602-388-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTICAS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "BRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-960-5121"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.