Organization Active NPI

Prince of Peace Home Health, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1871746024
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.