Organization · NPI-2

Aim Healthcare Providers, LLC

General Practice · Tempe, AZ

NPI number1104547975
StatusActive
Last updated in NPPESDec 9, 2024

Details

NPI
1104547975
Entity type
Organization (NPI-2)
Legal business name
Aim Healthcare Providers, LLC
Organization subpart
No
Enumeration date
Sep 8, 2022
Certification date
Dec 9, 2024
Last updated
Dec 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes

Other names

  • Aim Healthcare Providers, LLC (Former Legal Business Name)

Practice location

5025 S Ash Ave Ste 6&8
Tempe, AZ 85282-6839

Phone 480-494-2465 · Fax 480-534-4087

Mailing address

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0035

Phone 480-494-2465 · Fax 480-534-4087

Authorized official

Kelly Karaniuk
Credentialing Direct
4804942465

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice providers in Tempe, AZ