Healthcare Provider Details

I. General information

NPI: 1790612976
Provider Name (Legal Business Name): CALMWATER HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16042 N 32ND ST STE D9
PHOENIX AZ
85032-0028
US

IV. Provider business mailing address

16042 N 32ND ST STE D9
PHOENIX AZ
85032-0028
US

V. Phone/Fax

Practice location:
  • Phone: 602-600-0010
  • Fax:
Mailing address:
  • Phone: 602-600-0010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. YARYNA LICHKO
Title or Position: CEO
Credential:
Phone: 602-600-0010