Healthcare Provider Details
I. General information
NPI: 1568334555
Provider Name (Legal Business Name): PERALTA HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10429 S 51ST ST STE 202
PHOENIX AZ
85044-5237
US
IV. Provider business mailing address
10429 S 51ST ST STE 202
PHOENIX AZ
85044-5237
US
V. Phone/Fax
- Phone: 480-681-5490
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MULAT
ARAYA
Title or Position: OWNER
Credential:
Phone: 480-369-4865