NPIMap

Organization Active NPI

Mindful Home Care LLC

  • In Home Supportive Care Agency
  • Glendale, AZ
National Provider Identifier
1558054601
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MINDFUL HOME CARE LLC
Practice address
6511 N 44TH Ave
Glendale, AZ 85301-4205
Phone
(402) 830-7815
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Akout BolNPI 1033007604
Title
Owner
Phone
(402) 830-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6511 N 44TH Ave
Glendale, AZ 85301-4205

Mailing address

6511 N 44TH Ave
Glendale, AZ 85301-4205
Phone (402) 830-7815

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.

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1558054601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 N 44TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014205",
            "telephone_number": "402-830-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 N 44TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014205",
            "telephone_number": "402-830-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "BOL",
        "authorized_official_first_name": "AKOUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-830-7815"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.