Healthcare Provider Details

I. General information

NPI: 1023802295
Provider Name (Legal Business Name): HEALTHPROASSIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42726 N COURAGE TRL
ANTHEM AZ
85086-8086
US

IV. Provider business mailing address

42726 N COURAGE TRL
ANTHEM AZ
85086-8086
US

V. Phone/Fax

Practice location:
  • Phone: 480-847-3292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID KAFORA
Title or Position: PRESIDENT
Credential:
Phone: 623-203-3084