Healthcare Provider Details

I. General information

NPI: 1083523732
Provider Name (Legal Business Name): PALMS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 N PALM PARKE BLVD
CASA GRANDE AZ
85122-6700
US

IV. Provider business mailing address

12131 E CLOUD RD
CHANDLER AZ
85249-3436
US

V. Phone/Fax

Practice location:
  • Phone: 480-258-2618
  • Fax:
Mailing address:
  • Phone: 480-258-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: GAVIN EDWARDS
Title or Position: OWNER/MANAGER
Credential:
Phone: 480-258-2618