Healthcare Provider Details

I. General information

NPI: 1568526770
Provider Name (Legal Business Name): HAGGAI HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 E RAY RD STE 118
GILBERT AZ
85296-4205
US

IV. Provider business mailing address

633 E RAY RD STE 118
GILBERT AZ
85296-4205
US

V. Phone/Fax

Practice location:
  • Phone: 602-943-5963
  • Fax: 602-943-4516
Mailing address:
  • Phone: 602-943-5963
  • Fax: 602-943-4516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA3650
License Number StateAZ

VIII. Authorized Official

Name: BRANDON LANG
Title or Position: PRESIDENT
Credential:
Phone: 602-943-5963