Organization Active NPI

Forever Family Healthcare LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1346301629
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2959 Issued in AZ
Legal business name
FOREVER FAMILY HEALTHCARE LLC
Practice address
12010 S Warner Elliot Loop Ste 1
Phoenix, AZ 85044-2731
Phone
(480) 961-2366
Fax
(480) 961-2367
NPI assigned
Dec 12, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Jonne Amorette Housh, MSN, NP-CNPI 1285847210
Title
Nurse Practitioner
Phone
(480) 961-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2959 AZ Primary

Addresses

Primary practice location

12010 S Warner Elliot Loop Ste 1
Phoenix, AZ 85044-2731

Mailing address

12010 S Warner Elliot Loop Ste 1a
Phoenix, AZ 85044-2731
Phone (480) 961-2366

Other identifiers 1

IdentifierTypeStateIssuer
Z71307OtherAZPTAN

National Provider Directory

National Provider Directory

Locations

4545 E Chandler Blvd
Ste 206
Phoenix, AZ 85048
Phone (480) 961-5956

Practitioners & affiliated clinicians

Practitioners 3

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1346301629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12010 S WARNER ELLIOT LOOP STE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850442731",
            "telephone_number": "480-961-2366",
            "fax_number": "480-961-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 S WARNER ELLIOT LOOP STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850442731",
            "telephone_number": "480-961-2366",
            "fax_number": "480-961-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "HOUSH",
        "authorized_official_first_name": "JONNE",
        "authorized_official_middle_name": "AMORETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-961-2366",
        "authorized_official_credential": "MSN, NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z71307",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.