Active NPI
Und Homecare LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Maricopa, AZ
National Provider Identifier
1528837523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- UND HOMECARE LLC
- Practice address
- 22383 N Gibson Dr
Maricopa, AZ 85139-8856 - Phone
- (614) 500-2184
- NPI assigned
- Jan 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albeluv Nketsia Dadzie
- Title
- Ceo
- Phone
- (614) 500-2184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
22383 N Gibson Dr
Maricopa, AZ 85139-8856
Mailing address
22383 N Gibson Dr
Maricopa, AZ 85139-8856
Phone (614) 500-2184
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704067200000",
"number": "1528837523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22383 N GIBSON DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398856",
"telephone_number": "614-500-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22383 N GIBSON DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851398856",
"telephone_number": "614-500-2184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UND HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-01",
"last_updated": "2024-01-01",
"certification_date": "2024-01-01",
"status": "A",
"authorized_official_last_name": "NKETSIA DADZIE",
"authorized_official_first_name": "ALBELUV",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-500-2184"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.