Organization · NPI-2
Arizona Homecare Ventures, LLC
Home Health · Casa Grande, AZ
NPI number1366725889
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1366725889
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Homecare Ventures, LLC
- Organization subpart
- No
- Enumeration date
- Sep 21, 2011
- Last updated
- Oct 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HHA5182 | AZ | Yes |
Other names
- Horizon Homecare (Doing Business As)
Practice location
1729 N Trekell RdSuite 114
Casa Grande, AZ 85122-2215
Phone 520-836-5046 · Fax 520-836-5047
Mailing address
1729 N Trekell RdSuite 114
Casa Grande, AZ 85122-2215
Phone 520-836-5046 · Fax 520-836-5047
Authorized official
Richard E Bass
Principal
4803983018
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