Healthcare Provider Details

I. General information

NPI: 1861841751
Provider Name (Legal Business Name): CAAB HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 E PECOS RD
GILBERT AZ
85295-5057
US

IV. Provider business mailing address

5150 S INSPIRIAN PKWY UNIT 1107
MESA AZ
85212-8870
US

V. Phone/Fax

Practice location:
  • Phone: 972-815-7140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANET FOSTER
Title or Position: DIRECTOR
Credential:
Phone: 469-235-0280