Healthcare Provider Details

I. General information

NPI: 1487970109
Provider Name (Legal Business Name): VALLEY OF THE SUN HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2010
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20325 N 51ST AVE STE 178
GLENDALE AZ
85308-4625
US

IV. Provider business mailing address

20325 N 51ST AVE STE 178
GLENDALE AZ
85308-4625
US

V. Phone/Fax

Practice location:
  • Phone: 602-358-7106
  • Fax: 602-419-2255
Mailing address:
  • Phone: 602-358-7106
  • Fax: 602-419-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA4947
License Number StateAZ

VIII. Authorized Official

Name: LETICIA RAGUINDIN
Title or Position: EXECUTIVE DIRECTOR
Credential: RN, MSN
Phone: 602-358-7106