# MY HOME HEALTHCARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467225995
- **Authorized official:** ROSALYN YOUNG (CEO/ADMINISTRATOR)
- **Authorized official phone:** (026) 666-0202

## Contact information

- **Practice address:** 19532 N 27TH PL, PHOENIX, AZ 85050-1308
- **Practice address phone:** (602) 666-0202
- **Practice address fax:** (602) 844-5455
- **Mailing address:** 19532 N 27TH PL, PHOENIX, AZ 85050-1308
- **Mailing address phone:** (602) 888-6779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2023
- **Last updated:** 11/06/2023