MEDICARE: SAGUARO HEALTH CARE

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558440495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGUARO HEALTH CARE

Provider Business Mailing Address
First Line	:	19424 N R H JOHNSON BLVD
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-1409
Country	:	US
Telephone Number	:	623-546-4449
Fax Number	:	623-546-4480

Provider Business Practice Location Address
First Line	:	19424 N R H JOHNSON BLVD
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-1409
Country	:	US
Telephone Number	:	623-546-4449
Fax Number	:	623-546-4480

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JACQUELINE ROSE
Credential	:
Telephone Number	:	623-546-4449

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	08/22/2020

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Directions to “SAGUARO HEALTH CARE ” Practice Location

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