MEDICARE: ON-CALL HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528741105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON-CALL HOMECARE LLC

Provider Business Mailing Address
First Line	:	5615 W ACOMA DR APT 109
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4266
Country	:	US
Telephone Number	:	480-272-2822
Fax Number	:

Provider Business Practice Location Address
First Line	:	5615 W ACOMA DR APT 109
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4266
Country	:	US
Telephone Number	:	480-272-2822
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAYAM HADI MAJOW
Credential	:
Telephone Number	:	480-272-2822

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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