Fisher Family Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FISHER FAMILY HOME LLC

Doing business as

Fisher Family Home

Practice address

2927 W Redfield Rd
Phoenix, AZ 85053-7712

Phone

(602) 548-1410

Fax

(602) 942-6530

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason ColemanNPI 1467949099

Title

Owner

Phone

(480) 282-3043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fisher Family Home Doing business as

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.

• Jason Coleman

  • Home Health Agency
  • Pittsburgh, PA
  • NPI 1467949099
  NPD Authorized official

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1609474030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 W REDFIELD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537712",
            "telephone_number": "602-548-1410",
            "fax_number": "602-942-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 W REDFIELD RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537712",
            "telephone_number": "602-548-1410",
            "fax_number": "602-942-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-282-3043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A14420508",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fisher Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernadette Fish, LPN
• Joshua Russell Fish, RN
• Margaret Fish, RBT
• Jill D Fishburn, LAC
• Rotem Fishel Ben-Kenan, MD
• Alexandrea Fisher, RBT
• Ashley Renee Torrey Fisher, RN,MSN,WHNP
• Brenda Dee Fisher
• Briana Fisher
• Gina Fisher

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.