Organization Active NPI

Prileo Healthcare LLC Dba Prileo Home Care

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1902937212
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PRILEO HEALTHCARE LLC DBA PRILEO HOME CARE
Practice address
255 E Osborn Rd Ste 103
Phoenix, AZ 85012-2343
Phone
(602) 841-7611
Fax
(602) 841-1373
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Carolin Leong
Title
Executive Director
Phone
(480) 235-8582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

255 E Osborn Rd Ste 103
Phoenix, AZ 85012-2343

Mailing address

8883 W Flamingo Rd Ste 103
Las Vegas, NV 89147-8734
Phone (702) 209-2306

Other identifiers 1

IdentifierTypeStateIssuer
083892MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cleong@prileohc.com

National Provider Directory

National Provider Directory

Locations

201 E Cottonwood Ln
Ste 4
Casa Grande, AZ 85122

255 E Osborn Rd
Phoenix, AZ 85012

1140 E Washington St
Ste 102
Phoenix, AZ 85034

2432 W Peoria Ave
Ste 1266
Phoenix, AZ 85029
Phone (602) 997-0500

255 E Osborn Rd
Ste 103
Phoenix, AZ 85012
Phone (602) 841-7611

6210 E Thomas Rd
Ste 100
Scottsdale, AZ 85251

2700 E Fry Blvd
Ste A4
Sierra Vista, AZ 85635

2055 N Kolb Rd
Ste 111
Tucson, AZ 85715

1025 W 24th St
Ste 21
Yuma, AZ 85364
Phone (928) 344-9078

8883 W Flamingo Rd
Ste 103
Las Vegas, NV 89147

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1902937212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883 W FLAMINGO RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478734",
            "telephone_number": "702-209-2306",
            "fax_number": "702-209-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E OSBORN RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122343",
            "telephone_number": "602-841-7611",
            "fax_number": "602-841-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRILEO HEALTHCARE LLC DBA PRILEO HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "CAROLIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-235-8582",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083892",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cleong@prileohc.com",
            "affiliation": "N",
            "address_1": "255 E Osborn Rd Ste 103",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850122343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 15, 2021; 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.