NPIMap

Organization Active NPI

Community First Home Health Care, LLC

  • Home Health Agency
  • Wickenburg, AZ
National Provider Identifier
1336698729
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA6950 Issued in AZ
Legal business name
COMMUNITY FIRST HOME HEALTH CARE, LLC
Practice address
472 E Wickenburg Way
Suite #103
Wickenburg, AZ 85390-1601
Phone
(928) 684-4984
Fax
(928) 415-2240
NPI assigned
Sep 26, 2016
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mrs. Mylene F Magistrado, LPN
Title
Administrator
Phone
(623) 299-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA6950 AZ Primary

Addresses

Primary practice location

472 E Wickenburg Way
Suite #103
Wickenburg, AZ 85390-1601

Mailing address

472 E Wickenburg Way
Suite #103
Wickenburg, AZ 85390-1601
Phone (928) 684-4984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170602001408 AZ Part A Provider - Home Health Agency 4183991789 Practice locations: Wickenburg, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336698729. Details of each certification follow.

Home health agency certification: CCN 037481

Legal name
COMMUNITY FIRST HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 7, 2018
Last certification
Mar 3, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 18, 2014 in AZ
Enrollment address
472 E Wickenburg Way
Ste 103
Wickenburg, AZ 85390-1602

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community First Home Health Care, LLCCCN 037481 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
May 7, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
03D2115998Community First Home Health Care, LLC472 E Wickenburg Way, Ste #103, Wickenburg, AZ 85390Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

472 E Wickenburg Way
Wickenburg, AZ 85390

472 E Wickenburg Way
Ste 103
Wickenburg, AZ 85390
Phone (928) 684-4984

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Cecilia S Abalos Individual 5% Or Greater Direct Ownership Interest Nov 19, 2015 23.33%
Fleurdeliz F Magbanua Individual 5% Or Greater Direct Ownership Interest Nov 19, 2015 23.33%
Mylene F Magistrado Individual 5% Or Greater Direct Ownership Interest Nov 19, 2015 30%
Corporate Director Nov 19, 2015 30%
W-2 Managing Employee Nov 19, 2015 100%
Maria a Nazareno Individual 5% Or Greater Direct Ownership Interest Nov 19, 2015 23.33%

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1336698729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 E WICKENBURG WAY",
            "address_2": "SUITE #103",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901601",
            "telephone_number": "928-684-4984",
            "fax_number": "928-415-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 E WICKENBURG WAY",
            "address_2": "SUITE #103",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901601",
            "telephone_number": "928-684-4984",
            "fax_number": "928-415-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FIRST HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "MAGISTRADO",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-299-1117",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

Verify at the official NPI Registry.