Organization Active NPI

Faithful Guardians Home Care

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1730974254
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAITHFUL GUARDIANS HOME CARE
Practice address
1318 S Vineyard Apt 13
Mesa, AZ 85210-8979
Phone
(602) 312-8107
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Timya Burnett
Title
Owner
Phone
(602) 312-8107

Specialties & licenses 1

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

Addresses

Primary practice location

1318 S Vineyard Apt 13
Mesa, AZ 85210-8979

Mailing address

1318 S Vineyard Apt 13
Mesa, AZ 85210-8979
Phone (602) 312-8107

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1730974254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S VINEYARD APT 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108979",
            "telephone_number": "602-312-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S VINEYARD APT 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108979",
            "telephone_number": "602-312-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL GUARDIANS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "TIMYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-312-8107"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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