Provider Demographics
NPI:1578780649
Name:ALL N ONE HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:ALL N ONE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT & COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERITY
Authorized Official - Middle Name:ROBELYN
Authorized Official - Last Name:MC KENDRICKS-LANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-368-3471
Mailing Address - Street 1:12729 W ESTERO LN
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5502
Mailing Address - Country:US
Mailing Address - Phone:602-368-3471
Mailing Address - Fax:602-368-3486
Practice Address - Street 1:2922 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4180
Practice Address - Country:US
Practice Address - Phone:602-368-3471
Practice Address - Fax:602-368-3486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4148251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ516591Medicaid
AZ516591Medicaid