Active NPI
House of Shelter Incorporated
- Home Health Agency
- Goodyear, AZ
National Provider Identifier
1144834318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOUSE OF SHELTER INCORPORATED
- Practice address
- 15757 W Moreland St
Goodyear, AZ 85338-4161 - Phone
- (623) 221-1579
- NPI assigned
- Sep 3, 2020
- Organization subpart
- Yes
- Parent organization
- HOUSE OF SHELTER INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Floyd H Jones, MPA
- Title
- Ceo/Provider
- Phone
- (623) 221-1579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
15757 W Moreland St
Goodyear, AZ 85338-4161
Mailing address
15757 W Moreland St
Goodyear, AZ 85338-4161
Phone (623) 221-1579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCR-213259-4481 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Part of
- House of Shelter Incorporated
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1144834318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15757 W MORELAND ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384161",
"telephone_number": "623-221-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15757 W MORELAND ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384161",
"telephone_number": "623-221-1579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF SHELTER INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOUSE OF SHELTER INCORPORATED",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "FLOYD",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO/PROVIDER",
"authorized_official_telephone_number": "623-221-1579",
"authorized_official_credential": "MPA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LCR-213259-4481",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
- Hospital Development of West Phoenix Inc (Abrazo West Campus)
- Hospital Development of West Phoenix Inc (Abrazo West Campus and Abrazo Maryvale Campus)
- Hospital Development of West Phoenix Inc (Abrazo Health Inpatient Rehabilitation Hospital)
- Hospitalist Medicine Physicians of Arizona - Goodyear, Inc.
- Diana Houle, P.A.
- Krista Michelle Howard, SLPA
- Stephanie Howe, LPN
- HS Digital LLC
- Sarah Huish
- Misty A Hull, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.