Healthcare Provider Details
I. General information
NPI: 1255942702
Provider Name (Legal Business Name): A2Z CAREGIVERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2020
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4365 E PECOS RD STE 119
GILBERT AZ
85295-8052
US
IV. Provider business mailing address
4365 E PECOS RD STE 119
GILBERT AZ
85295-8052
US
V. Phone/Fax
- Phone: 602-535-7026
- Fax:
- Phone: 602-535-7026
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
MOORE
Title or Position: MEMBER/MANAGER
Credential:
Phone: 602-535-7026