MEDICARE: ELENA HOME HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558191106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELENA HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	3914 E SOPHIE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-9653
Country	:	US
Telephone Number	:	602-752-8251
Fax Number	:

Provider Business Practice Location Address
First Line	:	3914 E SOPHIE LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-9653
Country	:	US
Telephone Number	:	602-752-8251
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANEESAH KAAMIL HICKS
Credential	:	CNA
Telephone Number	:	602-752-8251

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	05/28/2026

Similar Medicare Providers

1568274397 — KYLEEN MCCONNELL PA-C
Practice Location Address:

325 E BASELINE RD
PHOENIX, AZ
85042-6589

Practice Phone: 602-243-7277
Practice Fax:

1588593420 — ELEVATED HEALING CO., PLLC
Practice Location Address:

3606 E BASELINE RD
PHOENIX, AZ
85042-7202

Practice Phone: 602-488-4045
Practice Fax:

1205766631 — T&H BEHAVIORAL HEALTH AGENCY LLC
Practice Location Address:

1809 E GWEN ST
PHOENIX, AZ
85042-8012

Practice Phone: 773-600-4302
Practice Fax:

1154251593 — TALMADGE EDDIE WATTS-PORTER STUDENT
Practice Location Address:

1809 E GWEN ST
PHOENIX, AZ
85042-8012

Practice Phone: 773-600-4302
Practice Fax:

1417887860 — WALKER TRUST COMPANY
Practice Location Address:

1809 E GWEN ST
PHOENIX, AZ
85042-8012

Practice Phone: 773-600-4302
Practice Fax:

1033049812 — MICHELLE SHORT
Practice Location Address:

2320 E BASELINE RD # 239
PHOENIX, AZ
85042-6951

Practice Phone: 903-337-7019
Practice Fax:

Directions to “ELENA HOME HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.