Organization Active NPI

Maricopa Home Health, LLC

  • Home Health Agency
  • Chandler, AZ
National Provider Identifier
1417147034
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARICOPA HOME HEALTH, LLC
Practice address
955 W Chandler Blvd
Suite 5
Chandler, AZ 85225-4906
Phone
(480) 963-4663
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Nancy Polston
Title
Office Manager / Owner
Phone
(480) 855-7423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

955 W Chandler Blvd
Suite 5
Chandler, AZ 85225-4906

Mailing address

955 W Chandler Blvd
Suite 5
Chandler, AZ 85225-4906
Phone (480) 963-4663

National Provider Directory

National Provider Directory

Locations

955 W Chandler Blvd
Ste 5
Chandler, AZ 85225
Phone (480) 963-4663

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1417147034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD",
            "address_2": "SUITE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "480-963-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W CHANDLER BLVD",
            "address_2": "SUITE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852254906",
            "telephone_number": "480-963-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "POLSTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER / OWNER",
        "authorized_official_telephone_number": "480-855-7423"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.