Organization Active NPI

Bamboo Heart Home Care LLC

  • In Home Supportive Care Agency
  • Laveen, AZ
National Provider Identifier
1629972435
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAMBOO HEART HOME CARE LLC
Practice address
5626 W Piedmont Rd
Laveen, AZ 85339-3398
Phone
(602) 295-5164
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Edna Williams
Title
Owner
Phone
(602) 295-5164

Specialties & licenses 1

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

Addresses

Primary practice location

5626 W Piedmont Rd
Laveen, AZ 85339-3398

Mailing address

5626 W Piedmont Rd
Laveen, AZ 85339-3398
Phone (602) 295-5164

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1629972435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 W PIEDMONT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393398",
            "telephone_number": "602-295-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 W PIEDMONT RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393398",
            "telephone_number": "602-295-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBOO HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-295-5164"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.