Active NPI
Prince of Peace Home Health, LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1871746024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRINCE OF PEACE HOME HEALTH, LLC
- Practice address
- 10640 N 28TH Dr
Suite C205-18
Phoenix, AZ 85029-4527 - Phone
- (602) 445-3501
- Fax
- (602) 865-1970
- NPI assigned
- Nov 1, 2008
- Last updated
- Nov 9, 2009
- 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
- Marian Mendoza Ramirez, RN
- Title
- Administrator
- Phone
- (602) 441-3501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10640 N 28TH Dr
Suite C205-18
Phoenix, AZ 85029-4527
Mailing address
10640 N 28TH Dr
Suite C205-18
Phoenix, AZ 85029-4527
Phone (602) 445-3501
National Provider Directory
National Provider DirectoryLocations
10640 N 28th Dr
#C20518
Phoenix, AZ 85029
Phone (602) 441-3501
10640 N 28th Dr
Ste C20518
Phoenix, AZ 85029
Phone (602) 445-3501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Avondale, AZ
- NPI 1629730189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257724800000",
"number": "1871746024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10640 N 28TH DR",
"address_2": "SUITE C205-18",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294527",
"telephone_number": "602-445-3501",
"fax_number": "602-865-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10640 N 28TH DR",
"address_2": "SUITE C205-18",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294527",
"telephone_number": "602-445-3501",
"fax_number": "602-865-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCE OF PEACE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-01",
"last_updated": "2009-11-09",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "MARIAN",
"authorized_official_middle_name": "MENDOZA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-441-3501",
"authorized_official_credential": "RN"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.