Active NPI
Phoenix Az Healthcare, Inc.
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1982120150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PHOENIX AZ HEALTHCARE, INC.
- Practice address
- 1825 E Northern Ave
Suite 100
Phoenix, AZ 85020 - Phone
- (623) 337-7480
- NPI assigned
- Aug 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlito Malicdem
- Title
- Member
- Phone
- (480) 979-6741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1825 E Northern Ave
Suite 100
Phoenix, AZ 85020
Mailing address
1825 E Northern Ave
Suite 100
Phoenix, AZ 85020
Phone (623) 337-7480
National Provider Directory
National Provider DirectoryLocations
10000 N 31st Ave
Ste B108
Phoenix, AZ 85051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Surprise, AZ
- NPI 1023622867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1982120150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 E NORTHERN AVE",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "623-337-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E NORTHERN AVE",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "623-337-7480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX AZ HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-18",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "MALICDEM",
"authorized_official_first_name": "CARLITO",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "480-979-6741"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Phoenix Allies for Community Health
- Phoenix Area Cardiology and Electrophysiology LLC
- Phoenix Area Cardiology and Electrophysiology LLC
- Phoenix ASC, LP
- Phoenix Autism Center, LLC
- Phoenix Az Opco LLC
- Phoenix Baptist Hospital
- Phoenix Cardiac Surgery PC
- Phoenix Care Service, LLC
- Phoenix Central Dental Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.