Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fundamentum LLC

Organization Home Health Registered Nurse · NPI 1548025075

Fundamentum LLC is a Home Health Registered Nurse in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5830 E McKellips Rd Unit 49
Mesa, AZ 85215-2784
Phone: (480) 652-6532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1548025075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Andazola — Director Of Operations · (480) 450-0847
NPI enumeratedFebruary 14, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address5830 E McKellips Rd Unit 49, Mesa, AZ 85215-2784

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