Avocare Home Health Plus, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVOCARE HOME HEALTH PLUS, INC

Practice address

250 N Litchfield Rd
Ste 200
Goodyear, AZ 85338-1333

Phone

(623) 932-3552

Fax

(623) 882-3273

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey Victuelles

Title

President

Phone

(623) 932-3552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037431

Legal name

AVOCARE HOME HEALTH PLUS, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 27, 2013

Last certification

Feb 19, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 29, 2012 in AZ

Enrollment address

105 N Pasadena St
Gilbert, AZ 85233-5013

Listed as

Avocare Home Health Plus, Inc.CCN 037431

Ownership

Proprietary

Certified

Dec 27, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1497003537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD",
            "address_2": "STE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381333",
            "telephone_number": "623-932-3552",
            "fax_number": "623-882-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD",
            "address_2": "STE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381333",
            "telephone_number": "623-932-3552",
            "fax_number": "623-882-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOCARE HOME HEALTH PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "VICTUELLES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-932-3552"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.