Medford's Home, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MEDFORD'S HOME, LLC

Practice address

44276 W Neely Dr
Maricopa, AZ 85138-9427

Phone

(619) 708-1440

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob MedfordNPI 1497415475

Title

Owner

Phone

(619) 708-1440

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jacob Medford

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Tempe, AZ
  • NPI 1497415475
  NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1952938185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44276 W NEELY DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851389427",
            "telephone_number": "619-708-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44276 W NEELY DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851389427",
            "telephone_number": "619-708-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD'S HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "MEDFORD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-708-1440"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn McFarland, LMT
• Timothy Glen McFarland, DC
• Dana Lea McGee, LAC
• Sandra A McGill, HEALTH CARE
• Hailey McLaughlin
• Sandrika L Medlock, PEER SPECIALIST
• Deanna Jaye Mehlhoff, FNP-BC
• Mental Health Awareness Utopia
• Mental Manna Counseling PLLC
• Mercy Home Care Services LLC.

• Community/Behavioral Health Agency in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.