Organization Active NPI

Home and Hands Total Care LLC

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1578277489
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME AND HANDS TOTAL CARE LLC
Practice address
530 S Dobson Rd Apt 342
Mesa, AZ 85202-1848
Phone
(480) 826-4661
NPI assigned
Jan 6, 2023
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mr. Zackery Davidson
Title
Owner
Phone
(602) 601-6023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

530 S Dobson Rd Apt 342
Mesa, AZ 85202-1848

Mailing address

530 S Dobson Rd Apt 342
Mesa, AZ 85202-1848
Phone (602) 602-6023

Other identifiers 1

IdentifierTypeStateIssuer
121212000054MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1578277489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S DOBSON RD APT 342",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021848",
            "telephone_number": "602-602-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S DOBSON RD APT 342",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021848",
            "telephone_number": "480-826-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AND HANDS TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ZACKERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-601-6023",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121212000054",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.