Healthcare Provider Details

I. General information

NPI: 1619862638
Provider Name (Legal Business Name): PILLAR HOME HEALTH AZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8263 W THUNDERBIRD RD STE 150
PEORIA AZ
85381-4156
US

IV. Provider business mailing address

8263 W THUNDERBIRD RD STE 150
PEORIA AZ
85381-4156
US

V. Phone/Fax

Practice location:
  • Phone: 480-409-3009
  • Fax: 480-409-0408
Mailing address:
  • Phone: 480-409-3009
  • Fax: 480-409-0408

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

VIII. Authorized Official

Name: KARINE YAZIDZHYAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 480-409-3009