Philia Homecare LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH5379 Issued in AZ

Legal business name

PHILIA HOMECARE LLC

Practice address

6431 W Branham LN
Laveen, AZ 85339-2786

Phone

(602) 750-6204

Fax

(888) 412-6713

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Miguel Denga

Title

Owner

Phone

(602) 750-6204

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1932693207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 W BRANHAM LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392786",
            "telephone_number": "602-750-6204",
            "fax_number": "888-412-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 W BRANHAM LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392786",
            "telephone_number": "602-750-6204",
            "fax_number": "888-412-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DENGA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-750-6204"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BH5379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "B13912329",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Peterson, LISAC
• Scott T Peterson, D.M.D. M.S.
• Fabiana Pettroza
• Nicole Peyton, D.C.
• Pha Residential LLC
• Phoenix Happy Living LLC
• Physical Medicine Centers of Arizona, LLC (Laveen Physical Medicine)
• Pinky Castillo Dba
• Mareesa Plaisimond, PA-C
• Megan Zarina Ploss, DMD

• Behavior Analyst in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.