Organization Active NPI

Family Home Health & Hospice LLC

Doing business as Family Home Health

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1235885765
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Dr. Jonathan Robert Vance, DPT, PTNPI 1649584004
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
123 N Centennial Way
Ste 150
Mesa, AZ 85201-6689

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Home HealthCCN 037825 · All quality measures
Overall star rating
4 of 5
Ownership
-
Certified
Feb 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
03D2263373Family Home Health123 N Centennial Way Ste 150, Mesa, AZ 85201Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Megan Vance Individual 5% Or Greater Direct Ownership Interest Feb 2, 2022 50%
General Partnership InterestSpouse to Jonathan Feb 2, 2022 50%
Jonathan Robert Vance Individual 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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.