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NPI Code Detail

MEDICARE: PILLAR HOME HEALTH AZ LLC

MEDICARE: PILLAR HOME HEALTH AZ LLC
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
1253Z00000XIn Home Supportive Care Agency
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1619862638
Entity Type Code : Organization
Provider Name (Legal Business Name) : PILLAR HOME HEALTH AZ LLC
Provider Business Mailing Address
First Line : 7047 E. GREENWAY PARKWAY
Second Line : SUITE 250, UNIT 202
City : SCOTTSDALE
State : AZ
Zip : 85254-8113
Country : US
Telephone Number : 480-409-3009
Fax Number : 480-409-0408
Provider Business Practice Location Address
First Line : 7047 E. GREENWAY PARKWAY
Second Line : SUITE 250, UNIT 202
City : SCOTTSDALE
State : AZ
Zip : 85254-8113
Country : US
Telephone Number : 480-409-3009
Fax Number : 480-409-0408
Authorized Official
Title or Position : MANAGING MEMBER
Name : KARINE YAZIDZHYAN
Credential :
Telephone Number : 480-409-3009
Provider Enumeration Date : 06/10/2025
Last Update Date : 12/11/2025

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