Organization Active NPI

Estrella Home Health Care 2, Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1649705765
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ESTRELLA HOME HEALTH CARE 2, INC.
Practice address
2990 E Northern Ave Ste C101
Phoenix, AZ 85028-4839
Phone
(623) 792-7282
Fax
(623) 792-7720
NPI assigned
Apr 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Wendel Adrain Akins
Title
Director of Nursing
Phone
(623) 792-7282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2990 E Northern Ave Ste C101
Phoenix, AZ 85028-4839

Mailing address

2990 E Northern Ave Ste C101
Phoenix, AZ 85028-4839
Phone (623) 792-7282

Other identifiers 1

IdentifierTypeStateIssuer
430582MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1649705765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284839",
            "telephone_number": "623-792-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284839",
            "telephone_number": "623-792-7282",
            "fax_number": "623-792-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA HOME HEALTH CARE 2, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "WENDEL",
        "authorized_official_middle_name": "ADRAIN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "623-792-7282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.