=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649957713
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NANA HOPE HOME HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2023
-----------------------------------------------------
Last Update Date | 06/30/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 60 E RIO SALADO PKWY STE 900-9067
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85281-9124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-952-0346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 60 E RIO SALADO PKWY STE 900-9067
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85281-9124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-952-0346
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CAO
-----------------------------------------------------
Name | VAHAN SETYAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 602-952-0346
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------