Organization Active NPI

Homely Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
National Provider Identifier
1528784196
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOMELY CARE
Practice address
7804 S 71St Ave
Laveen, AZ 85339-3443
Phone
(818) 477-7122
NPI assigned
Oct 17, 2022
Organization subpart
Yes
Parent organization
HOMELY CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Mayi Nannyondo
Title
Administrator
Phone
(818) 477-7122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7804 S 71St Ave
Laveen, AZ 85339-3443

Mailing address

7804 S 71St Ave
Laveen, AZ 85339-3443
Phone (818) 477-7122

National Provider Directory

National Provider Directory
Tax ID family
Homely Care2 organizations share this tax ID, including this one
Part of
Homely Care

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1528784196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 S 71ST AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393443",
            "telephone_number": "818-477-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 S 71ST AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393443",
            "telephone_number": "818-477-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMELY CARE LLC",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "NANNYONDO",
        "authorized_official_first_name": "MAYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-477-7122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.