Organization Active NPI

Valleywise Home Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1942913041
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VALLEYWISE HOME CARE LLC
Practice address
11225 N 28TH Dr Ste D115D
Phoenix, AZ 85029-5609
Phone
(602) 472-4676
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Evelyne Bankuwabo
Title
Owner
Phone
(602) 472-4676

Specialties & licenses 1

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

Addresses

Primary practice location

11225 N 28TH Dr Ste D115D
Phoenix, AZ 85029-5609

Mailing address

11225 N 28TH Dr Ste D115D
Phoenix, AZ 85029-5609
Phone (602) 472-4676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1942913041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D115D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295609",
            "telephone_number": "602-472-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D115D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295609",
            "telephone_number": "602-472-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYWISE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "BANKUWABO",
        "authorized_official_first_name": "EVELYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-472-4676"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 7, 2023; 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.