Action Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ACTION HOME HEALTHCARE LLC

Practice address

112 N Central Ave Ste M36
Phoenix, AZ 85004-2309

Phone

(216) 688-8637

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Ariona JacksonNPI 1104599133

Title

Ceo/Statutory Agent

Phone

(216) 688-8637

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariona Jackson

  • Behavior Technician
  • Warrensville Heights, OH
  • NPI 1104599133
  NPD Authorized official

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1346940194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CENTRAL AVE STE M36",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042309",
            "telephone_number": "216-688-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CENTRAL AVE STE M36",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042309",
            "telephone_number": "216-688-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ARIONA",
        "authorized_official_title_or_position": "CEO/STATUTORY AGENT",
        "authorized_official_telephone_number": "216-688-8637"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.