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Individual provider Active NPI Homemaker · Peoria, AZ

NPI 1447019146 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1447019146
Entity type
Individual (NPI type 1)
Primary specialty
Homemaker 376J00000X
Practice address
16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone
(480) 841-5022
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Nurse's Aide 376K00000X
Homemaker
Group: 193200000X MULTI-SPECIALTY GROUP
376J00000X Yes

Addresses

Primary practice location

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816

Mailing address

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone (480) 841-5022

Other providers in Peoria, AZ

All providers in Peoria, AZ · Homemaker in Arizona

Sources for this page

Verify at the official NPI Registry.