Healthcare Provider Details

I. General information

NPI: 1992641344
Provider Name (Legal Business Name): DESERT BREEZE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15610 N 35TH AVE STE 10
PHOENIX AZ
85053-3838
US

IV. Provider business mailing address

15610 N 35TH AVE STE 10
PHOENIX AZ
85053-3838
US

V. Phone/Fax

Practice location:
  • Phone: 602-686-0051
  • Fax:
Mailing address:
  • Phone: 602-686-0051
  • 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: CARLA LOCKHART
Title or Position: OWNER/ADMINISTRATOR
Credential: DNP, NP
Phone: 602-686-0051