CACTUS WREN ASSISTED HOME CARE II
NPI 1518038520
Custodial Care Facility - Adult Care Home in Phoenix, AZ

Active since November 13, 2006
6313 N 40TH DRIVE, PHOENIX, AZ 85019(602) 741-5523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cactus Wren Assisted Home Care Ii NPPES

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

CACTUS WREN ASSISTED HOME CARE II (NPI 1518038520) is a healthcare organization registered as an adult care home in Phoenix, Arizona and active in the NPI registry since November 2006. The organization lists Shirleta Canoy Soden, Owner, as its authorized official.

NPPES Registry Identity

NPI1518038520
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCACTUS WREN ASSISTED HOME CARE LLC
Location Address6313 N 40TH DRIVEPhoenix, AZ 85019-1427
Mailing Address6313 N 40th DrPhoenix, AZ 85019-1427 · (602) 741-5523
Organization SubpartNo
Authorized OfficialShirleta Canoy SodenOwner · (602) 741-5526
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1518038520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Licenses Licensed in AZ · ALH-5184 Licensed in AZ · ALH-5818
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
6313 N 40TH DRIVE, Phoenix, AZ 85019

Other Names 1

Doing Business AsCactus Wren Assisted Home Care Ii

Other Identifiers 2

Medicaid943771AZ
Medicaid113906AZ

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 Cactus Wren Assisted Home Care LLC's NPI number?

The NPI number for Cactus Wren Assisted Home Care LLC is 1518038520. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Cactus Wren Assisted Home Care II.

Where is Cactus Wren Assisted Home Care LLC located?

Cactus Wren Assisted Home Care LLC is located at 6313 N 40th Drive, Phoenix, AZ 85019. The listed phone number is (602) 741-5523.

What is Cactus Wren Assisted Home Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Cactus Wren Assisted Home Care LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.