Eternity Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ETERNITY HOME HEALTH CARE LLC

Doing business as

Eternity Home Health Care

Practice address

4140 N 108TH Ave Ste 101C
Phoenix, AZ 85037-5466

Phone

(623) 203-3139

Fax

(888) 778-1251

NPI assigned

Nov 14, 2020

Organization subpart

No

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

Authorized official

Name

Amabel Bongoyan, RN

Title

RN

Phone

(602) 374-6878

Specialties & licenses 1

Addresses

Other names 1

• Eternity Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Home health agency certification: CCN 037822

Legal name

ETERNITY HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 10, 2022

Last certification

Sep 20, 2022

Organization structure

LLCProprietary

Incorporated

Oct 3, 2020 in AZ

Enrollment address

4140 N 108TH Ave
Ste 101C
Phoenix, AZ 85037-5466

Listed as

Eternity Home Health Care LLCCCN 037822 · All quality measures

Overall star rating

3.5 of 5

Ownership

-

Certified

Oct 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Deepanshu Garg, M.D.

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1649377813

  Home health agency

  Care Compare affiliation
• Lucia Magat Gregorio, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1609856004

  Home health agency

  Care Compare affiliation
• Manav Jasrotia, MD

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1801993910

  Home health agency

  Care Compare affiliation
• Hitpreet K Sanghera, MD

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1497827497

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1699377549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 N 108TH AVE STE 101C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375466",
            "telephone_number": "602-675-2556",
            "fax_number": "888-778-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 N 108TH AVE STE 101C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375466",
            "telephone_number": "623-203-3139",
            "fax_number": "888-778-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNITY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "BONGOYAN",
        "authorized_official_first_name": "AMABEL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "602-374-6878",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternity Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eternity Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Etchechury, COTA/L
• Jessica Etchells, PA-C
• Eternal Hope Therapy Services LLC
• Eternal Love Hospice LLC
• Eternal Pathway LLC
• Eternity Hospice and Palliative Care, PLLC
• Eternity Services LLC
• Cristina Rose Etienne, P.A.
• Gregory C Etienne, PA
• Samantha Valerie Etienne, MD

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.