Mother Teresa Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA4579 Issued in AZ

Legal business name

MOTHER TERESA HOME HEALTH, LLC

Practice address

10640 N 28TH Dr
Suite C-205-17
Phoenix, AZ 85029-4527

Phone

(602) 358-8179

Fax

(602) 997-6048

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ilominda Osborne, RN

Title

Administrator

Phone

(602) 358-8179

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1932340429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DRIVE",
            "address_2": "SUITE C-205-17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292963",
            "telephone_number": "602-358-8179",
            "fax_number": "602-997-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR",
            "address_2": "SUITE C-205-17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294527",
            "telephone_number": "602-358-8179",
            "fax_number": "602-997-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER TERESA HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "ILOMINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-358-8179",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahyar Mostafavi, DO
• Hasan S Mostofo, NMD
• Ailady Mota Mariscal
• Pedram Motamedi, MD
• Diane Mote, MC LPC
• Motherland Counseling, LLC
• Motilin LLC
• Motilin LLC
• Motilin LLC
• Motilin LLC

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.