MEDICARE: PATIENT HANDS SENIOR LIVING, 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	376J00000X	Homemaker
2	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1609722800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT HANDS SENIOR LIVING, LLC

Provider Business Mailing Address
First Line	:	7600 N 15TH ST STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4305
Country	:	US
Telephone Number	:	317-437-4471
Fax Number	:	317-844-7991

Provider Business Practice Location Address
First Line	:	7600 N 15TH ST STE 150
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-4305
Country	:	US
Telephone Number	:	317-437-4471
Fax Number	:	317-844-7991

Authorized Official
Title or Position	:	OWNER
Name	:	CARMEN MERRIWEATHER
Credential	:
Telephone Number	:	317-437-4471

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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