Active NPI
Integrated Health and Support Services LLC
- In Home Supportive Care Agency
- Glendale, AZ
National Provider Identifier
1639082324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- INTEGRATED HEALTH AND SUPPORT SERVICES LLC
- Practice address
- 11003 N 59TH Dr
Glendale, AZ 85304-3744 - Phone
- (602) 723-1775
- NPI assigned
- Sep 24, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresia Fomeche
- Title
- Ceo/Owner
- Phone
- (602) 723-1775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
11003 N 59TH Dr
Glendale, AZ 85304-3744
Mailing address
11003 N 59TH Dr
Glendale, AZ 85304-3744
Phone (602) 723-1775
Practitioners & affiliated clinicians
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.
-
- Registered Nurse
- Glendale, AZ
- NPI 1750145199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1639082324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11003 N 59TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043744",
"telephone_number": "602-723-1775",
"fax_number": "602-723-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11003 N 59TH DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853043744",
"telephone_number": "602-723-1775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED HEALTH AND SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-24",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "FOMECHE",
"authorized_official_first_name": "THERESIA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "602-723-1775"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.