Organization Active NPI

Firstat Home Health Services, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1225069024
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3699 Issued in AZ
Legal business name
FIRSTAT HOME HEALTH SERVICES, LLC
Practice address
7310 N 16TH St
Ste 135
Phoenix, AZ 85020-5258
Phone
(602) 279-0000
Fax
(602) 279-6666
NPI assigned
Jul 6, 2006
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Joseph Thoemke
Title
Owner Ceo
Phone
(561) 627-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3699 AZ Primary

Addresses

Primary practice location

7310 N 16TH St
Ste 135
Phoenix, AZ 85020-5258

Mailing address

7310 N 16TH St
Ste 135
Phoenix, AZ 85020-5258
Phone (602) 279-0000

Other identifiers 1

IdentifierTypeStateIssuer
039891MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103001060 AZ Part A Provider - Home Health Agency 4587622873 Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225069024. Details of each certification follow.

Home health agency certification: CCN 037235

Legal name
FIRSTAT HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 24, 2005
Last certification
Jun 17, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 8, 2004 in AZ
Enrollment address
7330 N 16TH St
Ste C117
Phoenix, AZ 85020-8209

Care Compare: Home health agency

Medicare Care Compare
Listed as
Firstat Home Health Services, LLCCCN 037235 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 24, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1035237Firstat Home Health Services, LLC7330 N 16TH St #C-117, Phoenix, AZ 85020Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory

Locations

4620 N 16th St
Ste C116
Phoenix, AZ 85016
Phone (602) 393-4283

5125 N 16th St
#A108
Phoenix, AZ 85016
Phone (602) 279-0000

7310 N 16th St
Ste 135
Phoenix, AZ 85020
Phone (602) 279-0000

7330 N 16th St
Ste C117
Phoenix, AZ 85020
Phone (602) 279-0000

1895 Plaza Dr
Ste 115
Saint Paul, MN 55122

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.

NameRoleSinceShare
Thoemke Enterprises Inc Organization, Eagan, MN Corporation 5% Or Greater Direct Ownership Interest Feb 24, 2005 10%
Navika Sood Individual Operational/Managerial ControlAdministrator Jan 1, 2019 85%
Jana Thoemke Individual 5% Or Greater Direct Ownership InterestOwner Feb 24, 2005 90%
Joseph Thoemke Individual Operational/Managerial Control Feb 24, 2005 10%
Kelly Thoemke Individual Operational/Managerial ControlController Jan 1, 2019 5%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1225069024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST",
            "address_2": "STE 135",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205258",
            "telephone_number": "602-279-0000",
            "fax_number": "602-279-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST",
            "address_2": "STE 135",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205258",
            "telephone_number": "602-279-0000",
            "fax_number": "602-279-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTAT HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "THOEMKE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "561-627-9563"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039891",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.