Organization Active NPI

Devoted Guardians Home Health LLC

  • Home Health Agency
  • Tempe, AZ
National Provider Identifier
1477064418
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEVOTED GUARDIANS HOME HEALTH LLC
Practice address
1705 W Ruby Dr Ste 107
Tempe, AZ 85284-1060
Phone
(480) 999-3012
Fax
(602) 992-0457
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Authorized official

Name
Justin Tyler
Title
Administrator
Phone
(480) 388-7585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1705 W Ruby Dr Ste 107
Tempe, AZ 85284-1060

Mailing address

1705 W Ruby Dr Ste 107
Tempe, AZ 85284-1060
Phone (480) 999-3012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711756800000",
    "number": "1477064418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W RUBY DR STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841060",
            "telephone_number": "480-999-3012",
            "fax_number": "480-656-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W RUBY DR STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841060",
            "telephone_number": "480-999-3012",
            "fax_number": "602-992-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED GUARDIANS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-388-7585"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.