Healthcare Provider Details

I. General information

NPI: 1225698780
Provider Name (Legal Business Name): BATTLECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 E BOSTON ST
GILBERT AZ
85295-1131
US

IV. Provider business mailing address

1039 E BOSTON ST
GILBERT AZ
85295-1131
US

V. Phone/Fax

Practice location:
  • Phone: 520-380-7533
  • Fax:
Mailing address:
  • Phone: 520-380-7533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS CURTIS BATTLE III
Title or Position: OWNER
Credential:
Phone: 520-380-7533