Desert Valley United LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESERT VALLEY UNITED LLC

Practice address

17505 N 79TH Ave Ste 207
Glendale, AZ 85308-8726

Phone

(602) 206-3611

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Patrick Indovina

Title

Owner

Phone

(602) 206-3611

Specialties & licenses 1

Addresses

Other names 1

• Boost Home Healthcare Doing business as

Locations

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1497574149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 207",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "602-206-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 207",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "602-206-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY UNITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "INDOVINA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-206-3611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boost Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Glendale, AZ
• Providers in Glendale, 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 Oct 9, 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.