Home Care Phx LLC
In Home Supportive Care in Phoenix, AZ. Organization (NPI-2).
NPI number1164053047
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1164053047
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Care Phx LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 347C00000X | Private Vehicle | – | – | |
| 251E00000X | Home Health | – | – | |
| 305S00000X | Point of Service | – | – | |
| 372500000X | Chore Provider | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
2322 W Sleepy Ranch RdPhoenix, AZ 85085-7038
Phone 602-935-4301
Mailing address
2322 W Sleepy Ranch RdPhoenix, AZ 85085-7038
Authorized official
April Yax
Ceo
4803692361
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