Organization Active NPI

Penda Home Care LLC

  • Assisted Living Facility
  • Maricopa, AZ
National Provider Identifier
1275368664
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PENDA HOME CARE LLC
Doing business as
Penda Home Care LLC
Practice address
40968 W Portis Dr
Maricopa, AZ 85138-4569
Phone
(520) 457-7645
Fax
(520) 423-3381
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Ms. Asha M Madoshi
Title
Member
Phone
(925) 698-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

40968 W Portis Dr
Maricopa, AZ 85138-4569

Mailing address

1025 Burnham Dr
Pittsburg, CA 94565-7208
Phone (925) 698-9281

Other names 1

  • Penda Home Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1275368664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 BURNHAM DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657208",
            "telephone_number": "925-698-9281",
            "fax_number": "520-423-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40968 W PORTIS DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384569",
            "telephone_number": "520-457-7645",
            "fax_number": "520-423-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "MADOSHI",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "925-698-9281",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penda Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.