NPIMap

Organization Active NPI

Pinky Home Care LLC

  • In Home Supportive Care Agency
  • Peoria, AZ
National Provider Identifier
1548093560
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PINKY HOME CARE LLC
Doing business as
Pinky Home Care LLC
Practice address
9250 N 75TH Ave Lot 48
Peoria, AZ 85345-6634
Phone
(480) 453-1727
NPI assigned
Aug 23, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Pinky WilliamsNPI 1710667464
Title
Employee
Phone
(480) 453-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9250 N 75TH Ave Lot 48
Peoria, AZ 85345-6634

Mailing address

8050 N 19TH Ave # 101
Phoenix, AZ 85021-5101
Phone (480) 453-1727

Other names 1

  • Pinky Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1548093560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 N 19TH AVE # 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215101",
            "telephone_number": "480-453-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 75TH AVE LOT 48",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456634",
            "telephone_number": "480-453-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PINKY",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "480-453-1727"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinky Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinky Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.