Provider Demographics
NPI:1285269530
Name:DESERT FAMILY HOME HEALTH LLC
Entity type:Organization
Organization Name:DESERT FAMILY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TENER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:480-637-0900
Mailing Address - Street 1:13215 N VERDE RIVER DR STE 1
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-8309
Mailing Address - Country:US
Mailing Address - Phone:480-637-0900
Mailing Address - Fax:480-604-2217
Practice Address - Street 1:13215 N VERDE RIVER DR STE 1
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-8309
Practice Address - Country:US
Practice Address - Phone:480-226-4061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health