Organization · NPI-2

Becky Home Health Care, LLC

Home Health · Surprise, AZ

NPI number1811296262
StatusActive
Last updated in NPPESMar 24, 2011

Details

NPI
1811296262
Entity type
Organization (NPI-2)
Legal business name
Becky Home Health Care, LLC
Organization subpart
No
Enumeration date
Mar 24, 2011
Last updated
Mar 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health–AZYes
311ZA0620X Custodial Care Facility, Adult Care Home–AZ
322D00000X Residential Treatment Facility, Emotionally Disturbed Children–AZ
343900000X Non-emergency Medical Transport (VAN)–AZ
385H00000X Respite Care–AZ
385HR2055X Respite Care, Respite Care, Mental Illness, Child–AZ
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child–AZ

Practice location

16551 N Dysart Rd Ste 104a
Surprise, AZ 85378-3707

Phone 623-455-8777 · Fax 623-414-3078

Mailing address

16551 N. Dysart Road, Suite 104a
Surprise, AZ 85374

Phone 623-455-8777 · Fax 623-414-3078

Authorized official

Nathan K Aguru
Chief Administrator
6234558777

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