Active NPI
Family Home Health & Hospice LLC
Doing business as Family Home Health
- Physical Therapist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FAMILY HOME HEALTH & HOSPICE LLC
- Doing business as
- Family Home Health
- Practice address
- 123 N Centennial Way Ste 150
Mesa, AZ 85201-6689 - Phone
- (480) 695-2881
- NPI assigned
- Feb 23, 2022
- Last updated
- Nov 11, 2025
- 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
- Dr. Jonathan Robert Vance, DPT, PT
- Title
- Owner/President
- Phone
- (480) 695-2881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Social Worker | 104100000X | |||
| Home Health Aide | 374U00000X | |||
| Home Health Registered Nurse | 163WH0200X | |||
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
123 N Centennial Way Ste 150
Mesa, AZ 85201-6689
Mailing address
123 N Centennial Way Ste 150
Mesa, AZ 85201-6689
Phone (480) 695-2881
Other names 1
- Family Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220902001327 | AZ | Part A Provider - Home Health Agency | 6103200589 | Practice locations: Mesa, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1235885765. Details of each certification follow.
Home health agency certification: CCN 037825
- Legal name
- FAMILY HOME HEALTH & HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 2, 2023
- Last certification
- Jan 5, 2023
- Organization structure
- LLC
- Enrollment address
- 123 N Centennial Way
Ste 150
Mesa, AZ 85201-6689
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Family Home Health
- Overall star rating
- Ownership
- -
- Certified
- Feb 2, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2263373 | Family Home Health | Certificate of waiver | Jun 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
123 N Centennial Way
Ste 150
Mesa, AZ 85201
Phone (480) 687-8051
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Megan Vance | 5% Or Greater Direct Ownership Interest | Feb 2, 2022 | 50% |
| General Partnership Interest | Feb 2, 2022 | 50% | |
| Jonathan Robert Vance | 5% Or Greater Direct Ownership Interest | Feb 2, 2022 | 50% |
| General Partnership Interest | Feb 2, 2022 | 50% | |
| W-2 Managing Employee | Feb 2, 2022 | 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, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Mesa, AZ
- NPI 1649584004
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Acute Care Nurse Practitioner
- Mesa, AZ
- NPI 1760872550
Home health agency
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Gilbert, AZ
- NPI 1609901057
Home health agency
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tempe, AZ
- NPI 1417982158
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762819200000",
"number": "1235885765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 N CENTENNIAL WAY STE 150",
"city": "MESA",
"state": "AZ",
"postal_code": "852016689",
"telephone_number": "480-695-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N CENTENNIAL WAY STE 150",
"city": "MESA",
"state": "AZ",
"postal_code": "852016689",
"telephone_number": "480-695-2881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME HEALTH & HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-23",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "480-695-2881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT, PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Family Care Homes, Inc.
- Family Dentistry LLC
- Family First Physicians PLLC
- Family Health Center of East Valley PLLC
- Family Health Medical Clinic LLC
- Family Nurse Practice P.L.L.C.
- Family Service Agency
- Family Service Agency
- Family Strategies LLC (Family Strategies & Coaching)
- Family Tooth Doctor LL, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.