MATTHEW ODISHOO
NPI 1679069025
Adult Companion in Avondale, AZ

Q: What is Matthew Odishoo's NPI number?

The NPI number for Matthew Odishoo is 1679069025. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Matthew Odishoo's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Odishoo was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 09, 2018

2114 S 118TH AVE, AVONDALE, AZ 85323(623) 792-7930(623) 777-1683 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Matthew Odishoo NPPES

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

MATTHEW ODISHOO (NPI 1679069025) is an individual adult companion provider in Avondale, Arizona, licensed in Arizona (AL10626H) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1679069025

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameMATTHEW ODISHOO

Location Address2114 S 118TH AVEAvondale, AZ 85323-7643

Mailing Address2114 S 118th AveAvondale, AZ 85323-7643 · (623) 792-7930 · Fax (623) 777-1683

Phone(623) 792-7930

Fax(623) 777-1683

Sole ProprietorNo

Enumeration DateJuly 9, 2018

✔ NPI 1679069025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

License✔ Licensed in AZ · AL10626H

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

2114 S 118TH AVE, Avondale, AZ 85323

Open in Google Maps ↗

Other Identifiers 1

Other381288AZ · Ahcccs

Other Providers at the Same Location NPPES

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

ASSISTED LIVING OF THE VALLEY, LLC

Assisted Living Facility

2114 S 118TH AVE
AVONDALE, AZ 85323

Maricopa County (623) 792-7930

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 Matthew Odishoo's NPI number?

The NPI number for Matthew Odishoo is 1679069025. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Matthew Odishoo located?

Matthew Odishoo practices at 2114 S 118th Ave, Avondale, AZ 85323. The listed phone number is (623) 792-7930.

What is Matthew Odishoo's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Matthew Odishoo was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.