Organization Active NPI

Simos Home Care

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1699515395
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SIMOS HOME CARE
Practice address
1120 W Maldonado Rd
Phoenix, AZ 85041-6729
Phone
(623) 265-2923
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Fabrice Kouam Simo
Title
Owner
Phone
(623) 265-2923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1120 W Maldonado Rd
Phoenix, AZ 85041-6729

Mailing address

1120 W Maldonado Rd
Phoenix, AZ 85041-6729
Phone (623) 265-2923

Other names 1

  • simos home care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1699515395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416729",
            "telephone_number": "623-265-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W MALDONADO RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416729",
            "telephone_number": "623-265-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMOS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "SIMO",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_middle_name": "KOUAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-265-2923"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "simos home care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 25, 2025; 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.