Active NPI
Itimad Skill Home Health LLC
- Home Health Agency
- Fountain Hills, AZ
National Provider Identifier
1760288617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.