Organization Active NPI

Strong Hold Home Health, Inc.

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1861893174
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STRONG HOLD HOME HEALTH, INC.
Practice address
2301 W Dunlap Ave
Suite 107
Phoenix, AZ 85021-2844
Phone
(602) 944-1790
Fax
(602) 943-1055
NPI assigned
Sep 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Anna Siyavora, PHD
Title
Administrator
Phone
(602) 944-1790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2301 W Dunlap Ave
Suite 107
Phoenix, AZ 85021-2844

Mailing address

2301 W Dunlap Ave
Suite 107
Phoenix, AZ 85021-2844
Phone (602) 944-1790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141110000025 AZ Part A Provider - Home Health Agency 8224250113 Practice locations: Phoenix, AZ

Home health agency certification: CCN 037468

Legal name
STRONG HOLD HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 30, 2017
Last certification
Dec 4, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 15, 2014 in AZ
Enrollment address
2301 W. Dunlap Avenue
Suite 107
Phoenix, AZ 85021-2845

Care Compare: Home health agency

Medicare Care Compare
Listed as
Strong Hold Home Health, Inc.CCN 037468
Ownership
Proprietary
Certified
Apr 30, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Tavonga a Siyavora Individual Corporate OfficerTreasurer Governing Board Sep 4, 2014
W-2 Managing EmployeeFinance Director, Corp. Com. Dir Sep 4, 2014
Arlene L Rowden Individual Corporate OfficerSecretary Governing Board Sep 4, 2014
Anna Siyavora Individual 5% Or Greater Direct Ownership Interest Sep 4, 2014 100%
Corporate OfficerChairman/President of Gov. BD. Sep 4, 2014
W-2 Managing EmployeeAdministrator/Chairman/President Sep 4, 2014 100%

NPI Registry JSON

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

{
    "created_epoch": "1410048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1861893174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W DUNLAP AVE",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212844",
            "telephone_number": "602-944-1790",
            "fax_number": "602-943-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W DUNLAP AVE",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212844",
            "telephone_number": "602-944-1790",
            "fax_number": "602-943-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG HOLD HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-07",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SIYAVORA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-944-1790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.