Organization Active NPI

About Kids and Adults Home Health LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1497520597
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABOUT KIDS AND ADULTS HOME HEALTH LLC
Practice address
11225 N 28TH Dr Ste D115I
Phoenix, AZ 85029-5609
Phone
(623) 252-3725
Fax
(303) 223-0084
NPI assigned
Nov 17, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Jason PickerillNPI 1295025989
Title
Owner
Phone
(623) 252-3725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

11225 N 28TH Dr Ste D115I
Phoenix, AZ 85029-5609

Mailing address

16270 Forest Light Dr
Colorado Springs, CO 80908-2074
Phone (719) 644-1119

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2308473About Kids and Adults Home Health Care LLC11225 N 28TH Dr Sute D115I, Phoenix, AZ 85029Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Locations

11225 N 28th Dr
Ste D115I
Phoenix, AZ 85029
Phone (623) 252-3725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1497520597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16270 FOREST LIGHT DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082074",
            "telephone_number": "719-644-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D115I",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295609",
            "telephone_number": "623-252-3725",
            "fax_number": "303-223-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT KIDS AND ADULTS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PICKERILL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-252-3725"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.