Ahehee' Shidine'E Homecare Llc

LBN: Ahehee' Shidine'E Homecare Llc
Ahehee' Shidine'E Homecare Llc is an health care organization with primary practice located at 7550 N 19Th Ave Ste 205 , Phoenix AZ 85021-7981. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Ahehee' Shidine'E Homecare Llc can be contacted via phone (602) 644-1707, or through Tullie, Vanessa via phone (602) 687-3110.

Contact Information

Primary practice address
7550 N 19Th Ave Ste 205 Phoenix AZ 85021-7981
Fax: (928) 318-8777
Website:
Authorized official contact:
Name: Tullie, Vanessa

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1003383175
LBN Legal business name Ahehee' Shidine'E Homecare Llc
DBA Doing business as
Authorized official Tullie, Vanessa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2018
Last updated Jul 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003383175 NPPES
Arizona MEDICAID 429782

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