Provider Demographics
NPI:1447486006
Name:HOME CARE ASSISTANCE OF ARIZONA, LLC
Entity type:Organization
Organization Name:HOME CARE ASSISTANCE OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-664-3600
Mailing Address - Street 1:8585 E HARTFORD DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5471
Mailing Address - Country:US
Mailing Address - Phone:480-664-3600
Mailing Address - Fax:480-505-4078
Practice Address - Street 1:8585 E HARTFORD DR
Practice Address - Street 2:SUITE 109
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5471
Practice Address - Country:US
Practice Address - Phone:480-664-3600
Practice Address - Fax:480-505-4078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1023583251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health