Active NPI
Los Ninos Hospital Inc
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1144317355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA3379
- Legal business name
- LOS NINOS HOSPITAL INC
- Practice address
- 1402 E. South Mountain Avenue
Phoenix, AZ 85042 - Phone
- (602) 243-4231
- Fax
- (602) 323-5988
- NPI assigned
- Oct 7, 2006
- Organization subpart
- Yes
- Parent organization
- LOS NINOS HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Newport
- Title
- Credentialing Manager
- Phone
- (602) 243-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA3379 | AZ | Primary |
Addresses
Primary practice location
1402 E. South Mountain Avenue
Phoenix, AZ 85042
Mailing address
1402 E. South Mountain Avenue
Phoenix, AZ 85042
Phone (602) 243-4231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818552 | Medicaid | AZ | |
| HHA3379 | Other | AZ | STATE LICENSE |
Other names 1
- Innovative Home Health Care
National Provider Directory
National Provider Directory- Part of
- Los Ninos Innovative Home Healthcare
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592870400000",
"number": "1144317355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 E. SOUTH MOUNTAIN AVENUE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-243-4231",
"fax_number": "602-323-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E. SOUTH MOUNTAIN AVENUE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-243-4231",
"fax_number": "602-323-5988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS NINOS HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOS NINOS HOSPITAL INC",
"enumeration_date": "2006-10-07",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A",
"authorized_official_last_name": "NEWPORT",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "602-243-4231"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA3379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "818552",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "HHA3379",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Innovative Home Health Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Innovative Home Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.