Organization Active NPI

Heart and Home Az LLC

  • In Home Supportive Care Agency
  • Gilbert, AZ
National Provider Identifier
1386492536
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART AND HOME AZ LLC
Practice address
2131 E New Bedford Dr
Gilbert, AZ 85234-3865
Phone
(480) 944-4948
NPI assigned
May 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Jeremy Austin NelsonNPI 1003663527
Title
Chief Executive Officer
Phone
(480) 944-4948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2131 E New Bedford Dr
Gilbert, AZ 85234-3865

Mailing address

2131 E New Bedford Dr
Gilbert, AZ 85234-3865
Phone (480) 944-4948

Other names 1

  • Heart and Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1386492536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 E NEW BEDFORD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343865",
            "telephone_number": "480-944-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 E NEW BEDFORD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343865",
            "telephone_number": "480-944-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND HOME AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "480-944-4948"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart and Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.