Organization Active NPI

My Home LLC

Doing business as Self-Employed

  • Foster Care Agency
  • Apache Junction, AZ
National Provider Identifier
1619626868
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
MY HOME LLC
Doing business as
Self-Employed
Practice address
2142 S Geronimo Rd
Apache Junction, AZ 85119-8816
Phone
(480) 635-2566
NPI assigned
Mar 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Nadia Murphy
Title
Owner
Phone
(480) 635-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

2142 S Geronimo Rd
Apache Junction, AZ 85119-8816

Mailing address

2142 S Geronimo Rd
Apache Junction, AZ 85119-8816
Phone (480) 635-2566

Other identifiers 1

IdentifierTypeStateIssuer
372801MedicaidAZ

Other names 1

  • Self-Employed Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cloud Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1619626868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 S GERONIMO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851198816",
            "telephone_number": "480-635-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 S GERONIMO RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851198816",
            "telephone_number": "480-635-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-635-2566"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372801",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cloud",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2142 S Geronimo Rd",
            "city": "Apache Junction",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851198816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Self-Employed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.