NPIMap

Organization Active NPI

Nurse on Call of Arizona, LLC

Doing business as At Home Healthcare

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1891130589
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5789 Issued in AZ
Legal business name
NURSE ON CALL OF ARIZONA, LLC
Doing business as
At Home Healthcare
Practice address
1910 S Stapley Dr Ste 202
Mesa, AZ 85204-6679
Phone
(602) 273-9222
Fax
(602) 275-2093
NPI assigned
May 8, 2013
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 5789 AZ Primary

Addresses

Primary practice location

1910 S Stapley Dr Ste 202
Mesa, AZ 85204-6679

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • At Home Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130909000402 AZ Part A Provider - Home Health Agency 5092958272 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891130589. Details of each certification follow.

Home health agency certification: CCN 037258

Legal name
NURSE ON CALL OF ARIZONA, LLC
Doing business as
AT HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 30, 2008
Last certification
Dec 8, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 7, 2013 in DE
Enrollment address
1910 S Stapley Dr
Ste 202
Mesa, AZ 85204-6679

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home HealthcareCCN 037258 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D1062722Nurse on Call of Arizona, LLC1910 S Stapley Dr Ste 202, Mesa, AZ 85204Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1910 S Stapley Dr
Ste 202
Mesa, AZ 85204
Phone (602) 273-9222

3150 S 48th St
Ste 100
Phoenix, AZ 85040
Phone (602) 273-9222

3150 S 48th St
Ste 175
Phoenix, AZ 85040
Phone (602) 273-9222

8222 S 48th St
Ste 100
Phoenix, AZ 85044
Phone (602) 273-9222

4700 S McClintock Dr
Ste 105
Tempe, AZ 85282
Phone (602) 273-9222

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Dawn Kerwin Individual W-2 Managing EmployeeAd; Nov 25, 2025
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Health at Home Holdings-Arizona LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Kim M Beckman Individual W-2 Managing EmployeeAdministrator/Director of Nursing Dec 31, 2023
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affairs Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Apr 1, 2016
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1891130589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 202",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046679",
            "telephone_number": "602-273-9222",
            "fax_number": "602-275-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE ON CALL OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "5789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.