Healthcare Provider Details

I. General information

NPI: 1578473138
Provider Name (Legal Business Name): BREELAND HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 S STAPLEY DR STE 221
MESA AZ
85204-6680
US

IV. Provider business mailing address

1910 S STAPLEY DR STE 221
MESA AZ
85204-6680
US

V. Phone/Fax

Practice location:
  • Phone: 480-738-3887
  • Fax:
Mailing address:
  • Phone: 480-738-3887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JANAE DANIELS
Title or Position: CEO
Credential:
Phone: 480-738-3887