MD HOMECARE LLC (NPI# 1720524333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720524333 |
| Entity Type | Organization |
| Organization Name | MD HOMECARE LLC |
| Practice Address |
9225 N 3rd St Ste 102 Phoenix AZ 85020-2455 |
| Practice Telephone | 6023622983 |
| Practice Fax Number | 4805654552 |
| Mailing Telephone | 6023622983 |
| Mailing Fax Number | 4805654552 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MOHAMED KHALIL (CEO) |
| Authorized Official Telephone | 6023622983 |
| Is Organization Subpart | Y |
| Parent Organization Name | MD HOMECARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 290653 | 05 |
| Street Address |
9225 N 3RD ST STE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619329000 | Patrick Charles Mcneil | Physician Assistant | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2016-07-08 |
| 1386273688 | Jasmine Hope Cresanta | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-04-07 |
| 1205469327 | Kailynn Andrea Bailey | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-02-17 |
| 1174155089 | Hyangsook Lee Patel | Psychiatry & Neurology | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2020-02-08 |
| 1659918282 | Stacey Marie Stevens | Nurse Practitioner | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2019-12-02 |
| 1265918726 | Nicole Kay Larsen | Family Medicine | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2018-07-17 |
| 1871091249 | Ani Saraydarian-roe | Social Worker | 9225 N 3rd St Ste 102, Phoenix, AZ 85020-2455 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464357 | Anchor Health Partner LLC | Psychologist | 9150 W Indian School Rd Ste 131, Phoenix, AZ 85037-2388 | 2020-07-16 |
| 1679686059 | Price Locke | Psychologist | 650 E Indian School Rd, V.a. Medical Center (116b), Phoenix, AZ 85012-1839 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526159 | Shirley (duffy) Mxmahon | Psychologist | 4555 E Inverness Ave Bldg 3, Mesa, AZ 85206-4630 | 2020-10-21 |
| 1710529417 | John James Swangler | Psychologist | 3202 Mark Twain Dr, Pinetop, AZ 85935-8619 | 2019-10-14 |
| 1790153559 | Cheryl Dixon-burns | Psychologist | 12420 East Kachina Place, Suite 1824, Dewey, AZ 86327-1824 | 2015-09-10 |
| 1801419494 | Battlecare Counseling Services LLC. | Psychologist | 1411 N Pasadena, Mesa, AZ 85201-2706 | 2020-05-18 |
Please comment or provide details below to improve the information on MD HOMECARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.