Organization Active NPI

State 48 Home Health of Yuma LLC

  • Home Health Agency
  • Yuma, AZ
National Provider Identifier
1871398172
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STATE 48 HOME HEALTH OF YUMA LLC
Practice address
360 W 20TH St Ste B
Yuma, AZ 85364-5637
Phone
(928) 257-3004
Fax
(928) 361-7866
NPI assigned
Feb 19, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mohammed Ahmed
Title
Manager
Phone
(928) 257-3004

Specialties & licenses 1

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

Addresses

Primary practice location

360 W 20TH St Ste B
Yuma, AZ 85364-5637

Mailing address

360 W 20TH St Ste B
Yuma, AZ 85364-5637
Phone (928) 257-3004

National Provider Directory

National Provider Directory

Locations

360 W 20th St
Ste B
Yuma, AZ 85364
Phone (928) 257-3004

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1871398172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 20TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645637",
            "telephone_number": "928-257-3004",
            "fax_number": "928-361-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W 20TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645637",
            "telephone_number": "928-257-3004",
            "fax_number": "928-361-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE 48 HOME HEALTH OF YUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-257-3004"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.