Choice Home Heath Agency LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CHOICE HOME HEATH AGENCY LLC

Practice address

14040 N Cave Creek Rd Ste 101D
Phoenix, AZ 85022-6118

Phone

(480) 273-9889

Fax

(480) 626-0630

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Blasious Mabodo Mashatisa

Title

Ceo

Phone

(480) 273-9889

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1366215105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10357 W HARMONY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825901",
            "telephone_number": "480-273-9889",
            "fax_number": "480-626-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 101D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226118",
            "telephone_number": "480-273-9889",
            "fax_number": "480-626-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE HOME HEATH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MASHATISA",
        "authorized_official_first_name": "BLASIOUS",
        "authorized_official_middle_name": "MABODO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-273-9889"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Choices Network of Arizona
• Choices Network of Arizona, Inc

• Home Health Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.