Active NPI
Wema Homes LLC
- Community/Behavioral Health Agency
- San Tan Valley, AZ
National Provider Identifier
1407502727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WEMA HOMES LLC
- Practice address
- 1133 E Heather Dr
San Tan Valley, AZ 85140-5678 - Phone
- (480) 324-6999
- NPI assigned
- Feb 24, 2022
- 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
- Miss Eyvon G Kanyua, ADIMINISTER
- Title
- House Manager
- Phone
- (480) 324-6999
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
1133 E Heather Dr
San Tan Valley, AZ 85140-5678
Mailing address
1133 E Heather Dr
San Tan Valley, AZ 85140-5678
Phone (480) 324-6999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407502727 | Medicaid | AZ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Wemahomes@gmail.com | Health Information Exchange (HIE) | |
| Other URL | Wemahomesllc@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1407502727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 E HEATHER DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851405678",
"telephone_number": "480-324-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E HEATHER DR",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851405678",
"telephone_number": "480-324-6999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEMA HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "KANYUA",
"authorized_official_first_name": "EYVON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "HOUSE MANAGER",
"authorized_official_telephone_number": "480-324-6999",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "ADIMINISTER"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407502727",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Wemahomes@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "none",
"address_1": "1133 E Heather drive",
"city": "SANTAN VALLEY",
"state": "AZ",
"country_code": "US",
"postal_code": "85140",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Wemahomesllc@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "secure email",
"address_1": "1133 E Heather Dr",
"city": "San Tan Valley",
"state": "AZ",
"country_code": "US",
"postal_code": "851405678",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.