Provider Demographics
NPI:1477968444
Name:MY HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MY HOME HEALTH, INC.
Other - Org Name:VANURA HOMEHEALTH SERVICES ARIZONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-CEO-CFO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON ALAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DE LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-214-8664
Mailing Address - Street 1:10451 W PALMERAS DR
Mailing Address - Street 2:STE 221
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85373-2081
Mailing Address - Country:US
Mailing Address - Phone:623-214-8664
Mailing Address - Fax:623-214-8683
Practice Address - Street 1:10451 W PALMERAS DR
Practice Address - Street 2:STE 221
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85373-2081
Practice Address - Country:US
Practice Address - Phone:623-214-8664
Practice Address - Fax:623-214-8683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health