NPIMap

Organization Active NPI

Assisted Home Recovery, Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1508313255
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3163 Issued in AZ
Legal business name
ASSISTED HOME RECOVERY, INC.
Practice address
1420 E Missouri Ave Ste 101
Phoenix, AZ 85014-2470
Phone
(623) 486-2828
Fax
(623) 486-3116
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Michael Donley
Title
Coo
Phone
(805) 371-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3163 AZ Primary

Addresses

Primary practice location

1420 E Missouri Ave Ste 101
Phoenix, AZ 85014-2470

Mailing address

72 Moody CT
Thousand Oaks, CA 91360-6067
Phone (805) 371-9988

Other names 2

  • Assisted Home Care Doing business as
  • Assisted Home Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310002232 AZ Part A Provider - Home Health Agency 5092894352 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037220

Legal name
ASSISTED HOME RECOVERY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 22, 2003
Last certification
Dec 13, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 26, 1989 in CA
Enrollment address
1420 E Missouri Ave
Ste 101
Phoenix, AZ 85014-2405

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assisted Home HealthCCN 037220
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 22, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Assisted Home Care Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17100 N 67th Ave
Ste 305
Glendale, AZ 85308

3731 Wilshire Blvd
Ste 516
Los Angeles, CA 90010
Phone (213) 381-8310

10550 Sepulveda Blvd
Ste 116
Mission Hills, CA 91345
Phone (818) 894-8117

8550 Balboa Blvd
#283
Northridge, CA 91325
Phone (818) 984-8117

16909 Parthenia St
Ste 201
Northridge, CA 91343
Phone (818) 894-8117

115 E Micheltorena St
Ste 201
Santa Barbara, CA 93101
Phone (805) 569-2000

302 N Milpas St
Ste 101
Santa Barbara, CA 93103
Phone (805) 569-2000

2140 Eastman Ave
Ste 205
Ventura, CA 93003
Phone (805) 677-2100

4450 Westinghouse St
#101
Ventura, CA 93003
Phone (805) 677-2100

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Teresa Elaine Aulestia Individual W-2 Managing EmployeeAdministrator Jan 1, 2016
Michael R Donley Individual Corporate OfficerChief Financial Officer Apr 1, 2020 50%
Elaine Denise Shelton Individual 5% Or Greater Direct Ownership InterestPresident Oct 12, 1989 51%
Corporate OfficerPresident Oct 12, 1989 51%
W-2 Managing EmployeePresident Oct 12, 1989 51%
William Donley Individual 5% Or Greater Direct Ownership InterestChairman of the Board Oct 12, 1989 49%
Corporate OfficerChairman of the Board Oct 12, 1989 49%

Practitioners & affiliated clinicians

Affiliated clinicians 60

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1508313255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOODY CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606067",
            "telephone_number": "805-371-9988",
            "fax_number": "805-371-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E MISSOURI AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142470",
            "telephone_number": "623-486-2828",
            "fax_number": "623-486-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED HOME RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "DONLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "805-371-9988"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assisted Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.