Healthcare Provider Details

I. General information

NPI: 1306676598
Provider Name (Legal Business Name): BUTTERFLY PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2024
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 E WESTERN AVE
AVONDALE AZ
85323-2343
US

IV. Provider business mailing address

PO BOX 262
CASHION AZ
85329-0262
US

V. Phone/Fax

Practice location:
  • Phone: 602-830-0966
  • Fax: 928-851-6554
Mailing address:
  • Phone: 602-830-0966
  • Fax: 928-857-6554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TRUDY DEANNA JACOBS
Title or Position: OWNER
Credential:
Phone: 602-830-0966