Vanguard Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

VANGUARD HOME CARE LLC

Practice address

8143 W Riverside Ave
Phoenix, AZ 85043-1498

Phone

(480) 702-1090

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Ed Amah

Title

Administrator

Phone

(330) 866-0046

Specialties & licenses 1

Addresses

Other names 1

• VANGUARD HOME CARE Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edison Amah

  • In Home Supportive Care Agency
  • Phoenix, AZ
  • NPI 1598520645
  NPD

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1699459164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 W RIVERSIDE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 W RIVERSIDE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431498",
            "telephone_number": "480-702-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "AMAH",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-866-0046"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANGUARD HOME CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Vandyne, LAT
• Faith Vandyne
• Richard L. Vanesian, M.D.
• Lee Vang
• Vanguard Healthcare Providers, LLC
• Sarah Elizabeth Vanholland, MC
• Thanes Jason Vanig, MD
• Vanish Pain & Allergy
• David Vanlierop, MD
• Shobha S Vanmali, RD

• In Home Supportive Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.