Certified PA LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CERTIFIED PA LLC

Practice address

3104 E Camelback Rd # 2306
Phoenix, AZ 85016-4502

Phone

(877) 913-1733

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Imani BoardNPI 1295571339

Title

Owner

Phone

(877) 913-1733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imani Board

  • Nurse's Aide
  • Phoenix, AZ
  • NPI 1295571339
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1497589626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD # 2306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "877-913-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD # 2306",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "877-913-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BOARD",
        "authorized_official_first_name": "IMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-913-1733"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lauren Cericola, SLP-TEMPORARY
• Lisa A Cerilli, MD
• Michelle L Cermak
• Stephanie Ceron Guicho, LMSW
• Certified Medical Transportation
• Lorri Jan Cerva-Bucholz, DO
• Maraya Cervantes Chavira
• Roxann Cervantes
• Ruby A. Cervantes, LAC
• Emily Susan Cervantez, RDN

• In Home Supportive Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.