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DESERT HAVEN HOME CARE LLC
NPI 1376149070
Assisted Living Facility in Phoenix, AZ

Active since December 08, 2020CLIA 03D2204190 · Waiver
4123 N 21ST ST, PHOENIX, AZ 85016(602) 670-9326(602) 393-9097 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Haven Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT HAVEN HOME CARE LLC (NPI 1376149070) is a healthcare organization registered as an assisted living facility in Phoenix, Arizona and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 7, 2026, maintains a secondary practice location in Glendale, and lists Christopher D. Zambakari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376149070
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDESERT HAVEN HOME CARE LLC
Location Address4123 N 21ST STPhoenix, AZ 85016-6109
Mailing Address4123 N 21st StPhoenix, AZ 85016-6109 · (602) 670-9326 · Fax (602) 393-9097
Phone(602) 670-9326
Fax(602) 393-9097
Organization SubpartNo
Authorized OfficialChristopher D. ZambakariCeo · (602) 670-9326
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1376149070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4123 N 21ST ST, Phoenix, AZ 85016
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Other Names 1

Doing Business AsDesert Haven Home Care Llc

Secondary Practice Location 1

Location 14719 W Harmont DrGlendale, AZ 85302-6416 · Phone (602) 670-9326 · Fax (602) 393-9097

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2204190

Desert Haven Home Care LLC · Phoenix, AZ
Active · expires Dec 7, 2026
CLIA Number03D2204190
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorChristopher Zambakeri
Laboratory Phone(602) 670-9326
Laboratory LocationDesert Haven Home Care LLC4123 N 21st St, Phoenix, AZ 85016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ARKETA ZAMBAKARI
Nursing Home Administrator
4123 N 21ST ST
PHOENIX, AZ 85016
Maricopa County (602) 321-3616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desert Haven Home Care LLC's NPI number?

The NPI number for Desert Haven Home Care LLC is 1376149070. It was assigned to this organization in the NPPES registry on December 8, 2020.

Where is Desert Haven Home Care LLC located?

Desert Haven Home Care LLC is located at 4123 N 21st St, Phoenix, AZ 85016. The listed phone number is (602) 670-9326.

What is Desert Haven Home Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Desert Haven Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2204190) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Desert Haven Home Care LLC was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.