Luxury Manor LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LUXURY MANOR LLC

Doing business as

Luxury Manor HomeCare

Practice address

8720 W Adams St
Tolleson, AZ 85353-1347

Phone

(602) 461-5641

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Veronica Ann Miller

Title

Owner

Phone

(602) 461-5641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Luxury Manor HomeCare Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1477103786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 W ADAMS ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531347",
            "telephone_number": "602-461-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 W ADAMS ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531347",
            "telephone_number": "602-461-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-461-5641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tolleson",
            "affiliation": "N",
            "address_1": "8720 W Adams St",
            "city": "Tolleson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853531347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Luxury Manor HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Tolleson, AZ
• Providers in Tolleson, 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 Sep 18, 2019; 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.