Organization Active NPI

Outreach Health LLC

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1891082137
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OUTREACH HEALTH LLC
Doing business as
Outreach Home Care
Practice address
2509 S Power Rd Ste 101
Mesa, AZ 85209-6696
Phone
(480) 339-1790
Fax
(480) 304-3565
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Rebecca L Williams
Title
Director of Compliance
Phone
(214) 538-6689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2509 S Power Rd Ste 101
Mesa, AZ 85209-6696

Mailing address

2509 S Power Rd Ste 105
Mesa, AZ 85209-6696
Phone (480) 339-1790

Other practice location 1

2524 W Ruthrauff Rd Ste 110
Tucson, AZ 85705-5095
Phone (480) 339-1790

Other identifiers 1

IdentifierTypeStateIssuer
127318MedicaidAZ

Other names 1

  • Outreach Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

2509 S Power Rd
Ste 101
Mesa, AZ 85209
Phone (480) 339-1790

4041 S McClintock Dr
Ste 312
Tempe, AZ 85282

2524 W Ruthrauff Rd
Ste 110
Tucson, AZ 85705
Phone (480) 339-1790

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1891082137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S POWER RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096696",
            "telephone_number": "480-339-1790",
            "fax_number": "480-304-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096696",
            "telephone_number": "480-339-1790",
            "fax_number": "480-304-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2524 W Ruthrauff Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857055095",
            "country_code": "US",
            "telephone_number": "480-339-1790",
            "fax_number": "480-304-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTREACH HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "214-538-6689"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127318",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.