MEDICARE: PERALTA HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1568334555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERALTA HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	10429 S 51ST ST STE 202
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-5237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10429 S 51ST ST STE 202
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-5237
Country	:	US
Telephone Number	:	480-681-5490
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MULAT ARAYA
Credential	:
Telephone Number	:	480-369-4865

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	03/24/2026

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Directions to “PERALTA HOME HEALTH SERVICES ” Practice Location

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