Healthcare Provider Details

I. General information

NPI: 1205839545
Provider Name (Legal Business Name): HOME HEALTH INSIGHTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W FLORENCE BLVD STE A
CASA GRANDE AZ
85222-4051
US

IV. Provider business mailing address

121 W FLORENCE BLVD STE A
CASA GRANDE AZ
85222-4051
US

V. Phone/Fax

Practice location:
  • Phone: 520-421-2239
  • Fax: 520-421-2503
Mailing address:
  • Phone: 520-421-2239
  • Fax: 520-421-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA0192
License Number StateAZ

VIII. Authorized Official

Name: MR. CHARLES ROSS FEEZER
Title or Position: ADMINISTRATOR
Credential:
Phone: 520-421-2239