State 48 Home Health of Sierra Vista LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE 48 HOME HEALTH OF SIERRA VISTA LLC

Practice address

400 W Fry Blvd Ste 12a
Sierra Vista, AZ 85635-1760

Phone

(520) 685-3071

NPI assigned

Feb 18, 2025

Last updated

Feb 18, 2025By 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

Mohammed Ahmed

Title

Manager

Phone

(702) 445-1354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1336944891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD STE 12A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351760",
            "telephone_number": "520-685-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FRY BLVD STE 12A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351760",
            "telephone_number": "520-685-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE 48 HOME HEALTH OF SIERRA VISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-445-1354"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baron Staggs
• Jasmin Anza Stanley, RN
• Oliver Paul Starkey, MS CCC-SLP
• Stars Medical Transportation LLC
• Keith Starwalt, DNP
• State 48 Hospice of Sierra Vista LLC
• James Steemers, RPH
• Joanne Marie Steemers, RPH
• Cassandra Rose Steiner, DPNP
• Alisha Anne Stirling, LCSW

• Home Health Agency in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Feb 18, 2025; 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.