Active NPI
Megaoasis Homecare Agency LLC
- Home Health Agency
- Laveen, AZ
National Provider Identifier
1396596755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kedha Alce
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
- NPI 1467110676
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.