Momba Home Care Arizona LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOMBA HOME CARE ARIZONA LLC

Practice address

1300 S Litchfield Rd Ste 115D
Goodyear, AZ 85338-1645

Phone

(480) 591-7291

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Elazar Huisman

Title

Npi Manager

Phone

(404) 418-7484

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Erica Iglesias

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1639598113
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1760262950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERIMETER CENTER TER NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461201",
            "telephone_number": "480-591-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD STE 115D",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381645",
            "telephone_number": "480-591-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMBA HOME CARE ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "HUISMAN",
        "authorized_official_first_name": "ELAZAR",
        "authorized_official_title_or_position": "NPI MANAGER",
        "authorized_official_telephone_number": "404-418-7484"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Daniel Moga, PMHNP
• Hitham Mohamed
• Masood Ryard Mohammed, DO
• May Mokbelpur, MD
• Danielle Moller, PA-C
• Momentum Physical Therapy, PLLC
• John Robert Monroe, M.D.
• Courtney Montenegro
• Moore Advanced Orthopedics PLLC
• Michelle Rachel Moore, DPT

• In Home Supportive Care Agency in Goodyear, AZ
• Providers in Goodyear, 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 2, 2026; 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.