Healthcare Provider Details

I. General information

NPI: 1366363806
Provider Name (Legal Business Name): AGING WELL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39903 N WISDOM WAY
ANTHEM AZ
85086-1684
US

IV. Provider business mailing address

39903 N WISDOM WAY
ANTHEM AZ
85086-1684
US

V. Phone/Fax

Practice location:
  • Phone: 480-582-9898
  • Fax: 480-500-8995
Mailing address:
  • Phone: 480-582-9898
  • Fax: 480-500-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. NATASHA RRESHKA
Title or Position: OWNER
Credential:
Phone: 480-582-9898