Organization · NPI-2

Aaa Patriot Care Alliance Healthcare Agency INC.

Home Health · Casa Grande, AZ

NPI number1114793387

StatusActive

Last updated in NPPESDec 18, 2023

Details

NPI: 1114793387
Entity type: Organization (NPI-2)
Legal business name: Aaa Patriot Care Alliance Healthcare Agency INC.
Organization subpart: No
Enumeration date: Nov 29, 2023
Certification date: Dec 18, 2023
Last updated: Dec 18, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251E00000X	Home Health	–	–	Yes
3140N1450X	Skilled Nursing Facility, Nursing Care, Pediatric	–	–
315P00000X	Intermediate Care Facility, Intellectual Disabilities	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
343900000X	Non-emergency Medical Transport (VAN)	–	–
385H00000X	Respite Care	–	–
251F00000X	Home Infusion	–	–
251G00000X	Hospice Care, Community Based	–	–
251J00000X	Nursing Care	–	–
253Z00000X	In Home Supportive Care	–	–
310500000X	Intermediate Care Facility, Mental Illness	–	–
311Z00000X	Custodial Care Facility	–	–
174200000X	Meals	–	–
225XF0002X	Occupational Therapist, Feeding, Eating & Swallowing	–	–
251B00000X	Case Management	–	–

Practice location

1239 W Castle Dr
Casa Grande, AZ 85122-6652

Phone 520-518-0844 · Fax 888-335-2493

Mailing address

1239 W Castle Dr
Casa Grande, AZ 85122-6652

Phone 520-518-0844 · Fax 888-335-2493

Authorized official

Patricia A Jefferson
Founder
5205180844

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