NPIMap

Organization Active NPI

St Elizabeth Home Health Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1831410604
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4799 Issued in AZ
Legal business name
ST ELIZABETH HOME HEALTH INC.
Practice address
5343 N 16TH St Ste 270
Phoenix, AZ 85016-3233
Phone
(844) 472-5634
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mrs. Mary Genevieve Barter
Title
President/Ceo
Phone
(844) 472-5634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA4799 AZ Primary

Addresses

Primary practice location

5343 N 16TH St Ste 270
Phoenix, AZ 85016-3233

Mailing address

5343 N 16TH St Ste 270
Phoenix, AZ 85016-3233
Phone (844) 472-5634

Other names 1

  • Palmeira Home Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101129000939 AZ Part A Provider - Home Health Agency 9830385137 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037295

Legal name
ST ELIZABETH HOME HEALTH INC.
Doing business as
PALMEIRA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 11, 2011
Last certification
Mar 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 1, 2009 in AZ
Enrollment address
5343 N 16TH St
Ste 270
Phoenix, AZ 85016-3233

Care Compare: Home health agency

Medicare Care Compare
Listed as
Palmeira Home HealthcareCCN 037295
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Apr 11, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2004919St Elizabeth Home Health, Inc5343 N 16TH St Ste 270, Phoenix, AZ 85016Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Locations

136 S Broad St
Globe, AZ 85501
Phone (480) 456-4400

5343 N 16th St
Ste 270
Phoenix, AZ 85016
Phone (480) 456-4400

123 E Baseline Rd
Ste D108
Tempe, AZ 85283
Phone (480) 331-2844

209 E Baseline Rd
Ste E207
Tempe, AZ 85283
Phone (480) 238-1252

209 E Baseline Rd
Ste 207
Tempe, AZ 85283

34 Executive Park
Ste 220
Irvine, CA 92614

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Benedicto Individual Corporate OfficerVice President Jan 1, 2020
Mary G Villanueva-Barter Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2014 100%
Corporate OfficerPresident May 1, 2014 100%
Corporate DirectorCeo May 1, 2014 100%
W-2 Managing EmployeePresident May 1, 2014 100%

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1831410604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 N 16TH ST STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163233",
            "telephone_number": "844-472-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 N 16TH ST STE 270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163233",
            "telephone_number": "844-472-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ELIZABETH HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "BARTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GENEVIEVE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "844-472-5634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmeira Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.