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George Carroll

Respite Care, Respite Care, Mental Illness, Child in Arizona City, AZ. Individual provider (NPI-1).

NPI number1750445656
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1750445656
Entity type
Individual (NPI-1)
Name
George Carroll
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 22, 2006
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385HR2055X Respite Care, Respite Care, Mental Illness, Child––Yes

Practice location

9988 W Mission Rd
Arizona City, AZ 85223

Phone 520-466-6642

Mailing address

Po Box 579
Arizona City, AZ 85223-0579

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.

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