Organization Active NPI

Itimad Skill Home Health LLC

  • Home Health Agency
  • Fountain Hills, AZ
National Provider Identifier
1760288617
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ITIMAD SKILL HOME HEALTH LLC
Practice address
16807 E Palisades Blvd Ste 103
Fountain Hills, AZ 85268-8438
Phone
(602) 821-0111
NPI assigned
Feb 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Iman Juboori
Title
Owner, President
Phone
(602) 821-0111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

16807 E Palisades Blvd Ste 103
Fountain Hills, AZ 85268-8438

Mailing address

16807 E Palisades Blvd Ste 103
Fountain Hills, AZ 85268-8438

National Provider Directory

National Provider Directory

Locations

16807 E Palisades Blvd
Ste 103
Fountain Hills, AZ 85268
Phone (602) 821-0111

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1760288617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16807 E PALISADES BLVD STE 103",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16807 E PALISADES BLVD STE 103",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688438",
            "telephone_number": "602-821-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITIMAD SKILL HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "JUBOORI",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "602-821-0111"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.