Active NPI
Home Sweet Home Health Agency
- Home Health Agency
- Tempe, AZ
National Provider Identifier
1134715501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOME SWEET HOME HEALTH AGENCY
- Practice address
- 4535 S Lakeshore Dr Ste 1a
Tempe, AZ 85282-8342 - Phone
- (480) 459-4457
- NPI assigned
- Dec 18, 2020
- 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
- Paul Burke
- Title
- Indirect Owner
- Phone
- (714) 403-1332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4535 S Lakeshore Dr Ste 1a
Tempe, AZ 85282-8342
Mailing address
4535 S Lakeshore Dr Ste 1a
Tempe, AZ 85282-8342
Phone (480) 459-4457
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kinnser |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210827000971 | AZ | Part A Provider - Home Health Agency | 0941605018 | Practice locations: Tempe, AZ |
Home health agency certification: CCN 037806
- Legal name
- HOME SWEET HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 2, 2021
- Last certification
- Nov 2, 2021
- Organization structure
- LLC
- Incorporated
- Dec 1, 2020 in AZ
- Enrollment address
- 4535 S Lakeshore Dr
Ste 1a
Tempe, AZ 85282-8342
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Home Sweet Home Health Agency
- Overall star rating
- Ownership
- -
- Certified
- Nov 2, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
4535 S Lakeshore Dr
Ste 1A
Tempe, AZ 85282
Phone (480) 435-0296
2155 E University Dr
Ste 209
Tempe, AZ 85288
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kaveh Karandish | Contracted Managing Employee | Apr 14, 2026 | |
| Operational/Managerial Control | Apr 14, 2026 | ||
| Brian Rizkallah | 5% Or Greater Indirect Ownership Interest | Jan 28, 2026 | 50% |
| Jose Alvarez | W-2 Managing Employee | Apr 14, 2026 | |
| Operational/Managerial Control | Apr 14, 2026 | ||
| Paul Burke | 5% Or Greater Indirect Ownership Interest | Jan 28, 2026 | 50% |
| BH Az Home Health Holding LLC | 5% Or Greater Direct Ownership Interest | Jan 28, 2026 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Perris, CA
- NPI 1831173129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1134715501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 S LAKESHORE DR STE 1A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852828342",
"telephone_number": "480-459-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 S LAKESHORE DR STE 1A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852828342",
"telephone_number": "480-459-4457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME SWEET HOME HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "INDIRECT OWNER",
"authorized_official_telephone_number": "714-403-1332"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kinnser",
"affiliation": "N",
"endpointDescription": "EHR",
"address_1": "4535 S Lakeshore Dr Ste 1A",
"city": "Tempe",
"state": "AZ",
"country_code": "US",
"postal_code": "852828342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.