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FIRST SOURCE HEALTH LLC
NPI 1861355067
Home Health in Scottsdale, AZ

Active since December 04, 2025CLIA 03D2339534 · Waiver
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260(480) 450-0847 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About First Source Health Llc NPPES

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

FIRST SOURCE HEALTH LLC (NPI 1861355067) is a healthcare organization registered as a home health in Scottsdale, Arizona and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Susan Andazola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861355067
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameFIRST SOURCE HEALTH LLC
Location Address9375 E SHEA BLVD STE 100Scottsdale, AZ 85260-6986
Mailing Address9375 E Shea Blvd Ste 100Scottsdale, AZ 85260-6986 · (480) 450-0847
Phone(480) 450-0847
Organization SubpartNo
Authorized OfficialSusan AndazolaCeo · (480) 450-0847
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1861355067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
9375 E SHEA BLVD STE 100, Scottsdale, AZ 85260
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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 03D2339534

First Source Health LLC · Scottsdale, AZ
Active · expires Mar 3, 2028
CLIA Number03D2339534
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorSusan M. Andizola
Laboratory Phone(480) 450-0847
Laboratory LocationFirst Source Health LLC9375 E Shea Blvd Ste 100, Scottsdale, AZ 85260
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 20

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

ARROYO PSYCHOLOGICAL SERVICES PLLC
Psychologist (Clinical)
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 992-4996
HEARTS FOR DEMENTIA LLC
In Home Supportive Care
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 720-9038
MODULUS HEALTH GROUP NJ PC
General Practice
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (812) 878-0700
LOLITA TRAMEL PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 720-9038
PATHOGENDX
Clinical Medical Laboratory
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (202) 664-4711
SPEAKTISE, LLC
Non-Pharmacy Dispensing Site
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (877) 773-2538
AZ PEDIATRIC THERAPY, PLLC
Speech-Language Pathologist
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (480) 401-2381
GRANDPARENTS OF AMERICA INC
Case Management
9375 E SHEA BLVD STE 100
SCOTTSDALE, AZ 85260
Maricopa County (520) 704-8310

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 First Source Health LLC's NPI number?

The NPI number for First Source Health LLC is 1861355067. It was assigned to this organization in the NPPES registry on December 4, 2025.

Where is First Source Health LLC located?

First Source Health LLC is located at 9375 E Shea Blvd Ste 100, Scottsdale, AZ 85260. The listed phone number is (480) 450-0847.

What is First Source Health LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does First Source Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2339534) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for First Source Health LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.