Healthcare Provider Details

I. General information

NPI: 1124923172
Provider Name (Legal Business Name): ARENATA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 S HERON LN
GILBERT AZ
85296-0133
US

IV. Provider business mailing address

645 S HERON LN
GILBERT AZ
85296-0133
US

V. Phone/Fax

Practice location:
  • Phone: 908-342-6330
  • Fax:
Mailing address:
  • Phone: 908-342-6330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL

VIII. Authorized Official

Name: CRYSTAL BAWUAH
Title or Position: DON/OWNER
Credential: RN
Phone: 908-342-6330