Active NPI
CPLC Home Healthcare LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1265947980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CPLC HOME HEALTHCARE LLC
- Practice address
- 1617 N 45TH Ave Apt A102
Phoenix, AZ 85035-4220 - Phone
- (602) 442-9548
- Fax
- (602) 269-0621
- NPI assigned
- Dec 4, 2017
- Organization subpart
- Yes
- Parent organization
- CPLC HEALTH, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Dawn Coleman, RN
- Title
- Director of Home Healthcare
- Phone
- (602) 442-9548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1617 N 45TH Ave Apt A102
Phoenix, AZ 85035-4220
Mailing address
1617 N 45TH Ave Apt A102
Phoenix, AZ 85035-4220
Phone (602) 442-9548
Other names 1
- AZRA Home Healthcare LLC
Care Compare: Home health agency
Medicare Care Compare- Listed as
- CPLC Home Healthcare LLC
- Ownership
- Government Operated
- Certified
- Dec 23, 2019
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1255416103
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674518400000",
"number": "1265947980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 N 45TH AVE APT A102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850354220",
"telephone_number": "602-442-9548",
"fax_number": "602-269-0621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N 45TH AVE APT A102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850354220",
"telephone_number": "602-442-9548",
"fax_number": "602-269-0621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPLC HOME HEALTHCARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CPLC HEALTH, INC",
"enumeration_date": "2017-12-04",
"last_updated": "2023-01-24",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "DIRECTOR OF HOME HEALTHCARE",
"authorized_official_telephone_number": "602-442-9548",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AZRA Home Healthcare LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.