Organization Active NPI

Northstar Home Health LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1770974883
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHSTAR HOME HEALTH LLC
Practice address
21640 N 19TH Ave Ste C12
Phoenix, AZ 85027-2727
Phone
(623) 236-3170
Fax
(602) 218-7051
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Mr. Todd Cain Rea
Title
Administrator
Phone
(623) 236-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

21640 N 19TH Ave Ste C12
Phoenix, AZ 85027-2727

Mailing address

21640 N 19TH Ave Ste C12
Phoenix, AZ 85027-2727
Phone (623) 236-3170

National Provider Directory

National Provider Directory

Locations

21640 N 19th Ave
Ste C12
Phoenix, AZ 85027
Phone (623) 236-3170

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1770974883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21640 N 19TH AVE STE C12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272727",
            "telephone_number": "623-236-3170",
            "fax_number": "602-218-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21640 N 19TH AVE STE C12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272727",
            "telephone_number": "623-236-3170",
            "fax_number": "602-218-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "CAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-236-3170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2015; 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.