Resilient Homecare and Group Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RESILIENT HOMECARE AND GROUP HOME LLC

Practice address

1505 E Sahuaro Dr Apt 4
Phoenix, AZ 85020-1456

Phone

(602) 405-9011

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Ali ShabazzNPI 1689422594

Title

Owner/ Manager

Phone

(602) 405-9011

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ali Shabazz

  • Home Health Aide
  • Phoenix, AZ
  • NPI 1689422594
  NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1427682897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E SAHUARO DR APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201456",
            "telephone_number": "602-405-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E SAHUARO DR APT 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201456",
            "telephone_number": "602-405-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT HOMECARE AND GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "602-405-9011"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.