OrganizationActive
Certified PA LLC
NPI 1497589626 · In Home Supportive Care Agency · Phoenix, AZ
Certified PA LLC is a In Home Supportive Care Agency organization in Phoenix, AZ (NPI 1497589626).
Provider details
- NPI number
- 1497589626
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Imani Board, Owner(877) 913-1733
Specialties & taxonomies
Agencies
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3104 E Camelback Rd # 2306
Phoenix, AZ 85016-4502
Phone: (877) 913-1733
Street-level locationGet directions
Mailing address
3104 E Camelback Rd # 2306
Phoenix, AZ 85016-4502
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Frequently asked questions
- What is Certified PA LLC's NPI number?
- Certified PA LLC's National Provider Identifier (NPI) is 1497589626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Certified PA LLC?
- Certified PA LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Certified PA LLC located?
- Certified PA LLC's practice location on file with NPPES is 3104 E Camelback Rd # 2306, Phoenix, AZ 85016-4502.
- What is Certified PA LLC's phone number?
- The practice phone number listed in the NPPES registry for Certified PA LLC is (877) 913-1733.
- Who is the authorized official for Certified PA LLC?
- The authorized official listed on Certified PA LLC's NPPES record is Imani Board, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Certified PA LLC's NPI active?
- Yes — Certified PA LLC's NPI (1497589626) is active in the NPPES registry as of the last update on 2026-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.