Cactus Wren Assisted Home Care Ii
LBN: Cactus Wren Assisted Home Care Llc
Cactus Wren Assisted Home Care Ii is an health care organization with primary practice located at 6313 N 40Th Drive , Phoenix AZ 85019-1427. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty.
Cactus Wren Assisted Home Care Llc can be contacted via phone (602) 741-5523, or through Soden, Shirleta Canoy via phone (602) 741-5526.
Contact Information
Primary practice address
6313 N 40Th Drive
Phoenix AZ 85019-1427
Phone: (602) 741-5523
Fax:
Website:
Authorized official contact:
Name: Soden, Shirleta Canoy Registered Nurse (RN)
Phone: (602) 741-5526
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ALH-5184 | Arizona |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | ALH-5818 | Arizona |
Profile Details
| NPI number | 1518038520 |
|---|---|
| LBN Legal business name | Cactus Wren Assisted Home Care Llc |
| DBA Doing business as | Cactus Wren Assisted Home Care Ii |
| Authorized official | Soden, Shirleta Canoy Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518038520 | NPPES |
| Arizona | MEDICAID | 113906 | |
| Arizona | MEDICAID | 943771 |
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