Organization Active NPI

Megaoasis Homecare Agency LLC

  • Home Health Agency
  • Laveen, AZ
National Provider Identifier
1396596755
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEGAOASIS HOMECARE AGENCY LLC
Practice address
4514 W Hasan Dr
Laveen, AZ 85339-1959
Phone
(239) 745-2517
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Kedha AlceNPI 1467110676
Title
Owner
Phone
(239) 745-2517

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

4514 W Hasan Dr
Laveen, AZ 85339-1959

Mailing address

3683 E Nolan Dr
Chandler, AZ 85249-4697

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1396596755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 E NOLAN DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 W HASAN DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391959",
            "telephone_number": "239-745-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAOASIS HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "ALCE",
        "authorized_official_first_name": "KEDHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-745-2517"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.