Marhaba Home Care LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AL9436H Issued in AZ

Legal business name

MARHABA HOME CARE LLC

Practice address

15244 W Watson LN
Surprise, AZ 85379-7040

Phone

(623) 398-6059

Fax

(623) 398-8081

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Medhin Debesay Zero, CAREGIVER/OWNER CNA

Title

Marhaba Home Care Owner

Phone

(623) 398-6059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1134529282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15244 W WATSON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853797040",
            "telephone_number": "623-398-6059",
            "fax_number": "623-398-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15244 W WATSON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853797040",
            "telephone_number": "623-398-6059",
            "fax_number": "623-398-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARHABA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "ZERO",
        "authorized_official_first_name": "MEDHIN",
        "authorized_official_middle_name": "DEBESAY",
        "authorized_official_title_or_position": "MARHABA HOME CARE  OWNER",
        "authorized_official_telephone_number": "623-398-6059",
        "authorized_official_credential": "CAREGIVER/OWNER CNA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AZ",
            "license": "AL9436H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl R Marcelo, D.O.
• Gabriela Marchis
• Ryan Dennis Marco, PHARMD
• Eric Daniel Marcotte, D.C.
• Carrie Mardula, LPC
• Michael Mariano Nabong, MD
• Maricopa Podiatry Corporation
• Paulina Elise Mariki-Mhango, MD
• Maria Alexandra Marinca, MSN FNP
• Lauree J Marino, RN

• Physical Disabilities Residential Treatment Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physical Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.