Desert Family Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESERT FAMILY HOME HEALTH LLC

Practice address

13215 N Verde River Dr Ste 1
Fountain Hills, AZ 85268-8309

Phone

(480) 226-4061

NPI assigned

Mar 6, 2020

Last updated

Mar 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Tener, LPN

Title

Owner

Phone

(480) 637-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285269530. Details of each certification follow.

• CCN 037807 Home health agency · Active · Details

Home health agency certification: CCN 037807

Legal name

DESERT FAMILY HOME HEALTH, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 22, 2021

Last certification

Dec 22, 2021

Organization structure

LLCProprietary

Enrollment address

13215 N Verde River Dr
Ste 1
Fountain Hills, AZ 85268-8309
HHA Branch

Listed as

Desert Family Home HealthCCN 037807 · All quality measures

Overall star rating

2.5 of 5

Ownership

-

Certified

Dec 22, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1285269530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR STE 1",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688309",
            "telephone_number": "480-637-0900",
            "fax_number": "480-604-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR STE 1",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688309",
            "telephone_number": "480-226-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "TENER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-637-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Joanne Denison, M.S., CCC-SLP
• Rebecca Dent, M.A.
• Anna Derbak, COTA/L
• Dermright LLC
• Desert Community Medical Associates
• Desert Foot & Ankle P C
• Desert Fountain Medical Inc
• Desert Fountain Medical, PLLC
• Despain Senior Care LLC (Home Instead Senior Care)
• Dolores L Dias, FNP-BC

• Home Health Agency in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.

Verify at the official NPI Registry.