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ARIZONA SELECT HOME HEALTH INC. NPI 1295137362


NPI Information

NPI: 1295137362
Provider Name: ARIZONA SELECT HOME HEALTH, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 03D2107043

Address:
7440 W CACTUS RD STE A19
PEORIA, AZ
ZIP 85381
Phone: (480) 428-3526
Get Directions

ARIZONA SELECT HOME HEALTH, INC. is a home health in Peoria, AZ. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. ARIZONA SELECT HOME HEALTH, INC. NPI is 1295137362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7440 W CACTUS RD STE A19
PEORIA, AZ
ZIP 85381-534
Phone: (480) 428-3526
Fax: (480) 428-3545

The provider's authorized official is Layth Jarullah .
The authorized official title is Ceo and has the following contact phone number (480) 428-3526.

The CLIA number assigned to this NPI record is 03D2107043 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2014 and was last updated on 2/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseHHA6895ARIZONANo
2224Z00000XOccupational Therapy AssistantHHA6895ARIZONANo
3225100000XPhysical TherapistHHA6895ARIZONANo
4225200000XPhysical Therapy AssistantHHA6895ARIZONANo
5225X00000XOccupational TherapistHHA6895ARIZONANo
6235Z00000XSpeech-Language PathologistHHA6895ARIZONANo
7251F00000XHome InfusionHHA6895ARIZONANo
8253Z00000XIn Home Supportive CareHHA6895ARIZONANo
9251J00000XNursing CareHHA6895ARIZONANo
10251S00000XCommunity/Behavioral HealthNo
11374U00000XHome Health AideHHA6895ARIZONANo
12385H00000XRespite CareHHA6895ARIZONANo
13104100000XSocial WorkerHHA6895ARIZONANo
14163WH0200XRegistered NurseHome HealthHHA6895ARIZONANo
15251E00000XHome HealthHHA6895ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1153778OTHERARIZONAAHCCCS (STATE OF ARIZONA)
2153778OTHERARIZONAMERCY CARE PLAN (AHCCCS)
3153778MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.