Caremedix Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CAREMEDIX HOME HEALTH LLC

Practice address

1555 E University Dr Ste 4
Mesa, AZ 85203-8142

Phone

(480) 255-6540

Fax

(480) 834-4181

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Theodore A Mogol

Title

Administrator

Phone

(480) 255-6540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1679074231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 E JEROME AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097746",
            "telephone_number": "480-213-7845",
            "fax_number": "480-834-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E UNIVERSITY DR STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038142",
            "telephone_number": "480-255-6540",
            "fax_number": "480-834-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMEDIX HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "MOGOL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-255-6540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.