Organization Active NPI

Arizona Select Home Health, Inc.

  • Home Health Agency
  • Peoria, AZ
National Provider Identifier
1295137362
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA6895 Issued in AZ
Legal business name
ARIZONA SELECT HOME HEALTH, INC.
Practice address
7440 W Cactus Rd Ste A19
Peoria, AZ 85381-9534
Phone
(480) 428-3526
Fax
(480) 428-3545
NPI assigned
Sep 20, 2014
Last updated
Feb 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Authorized official

Name
Layth Jarullah
Title
Ceo
Phone
(480) 428-3526

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X HHA6895 AZ
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X HHA6895 AZ
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X HHA6895 AZ
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X HHA6895 AZ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X HHA6895 AZ
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X HHA6895 AZ
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X HHA6895 AZ
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X HHA6895 AZ
Home Health Agency 251E00000X HHA6895 AZ Primary
Home Infusion Agency 251F00000X HHA6895 AZ
Nursing Care Agency 251J00000X HHA6895 AZ
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X HHA6895 AZ
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X HHA6895 AZ
Respite Care 385H00000X HHA6895 AZ

Addresses

Primary practice location

7440 W Cactus Rd Ste A19
Peoria, AZ 85381-9534

Mailing address

7440 W Cactus Rd Ste A19
Peoria, AZ 85381-9534
Phone (480) 428-3526

Other identifiers 3

IdentifierTypeStateIssuer
153778OtherAZAHCCCS (STATE OF ARIZONA)
153778OtherAZMERCY CARE PLAN (AHCCCS)
153778MedicaidAZ

National Provider Directory

National Provider Directory

Locations

7440 W Cactus Rd
Ste A19
Peoria, AZ 85381
Phone (480) 307-7275

13416 N 32nd St
Ste 109
Phoenix, AZ 85032
Phone (323) 382-7871

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.

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1295137362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD STE A19",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819534",
            "telephone_number": "480-428-3526",
            "fax_number": "480-428-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 W CACTUS RD STE A19",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853819534",
            "telephone_number": "480-428-3526",
            "fax_number": "480-428-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SELECT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-20",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "JARULLAH",
        "authorized_official_first_name": "LAYTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-428-3526"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA6895",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "HHA6895",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS (STATE OF ARIZONA)",
            "identifier": "153778",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLAN (AHCCCS)",
            "identifier": "153778",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153778",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.