Healthcare Provider Details

I. General information

NPI: 1699187799
Provider Name (Legal Business Name): ARIZONAS CHOICE HOME HEALTH AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 W THUNDERBIRD RD STE W401
GLENDALE AZ
85306-4650
US

IV. Provider business mailing address

1114 N 1ST ST STE 200
GRAND JUNCTION CO
81501-2150
US

V. Phone/Fax

Practice location:
  • Phone: 623-444-6765
  • Fax: 623-321-6737
Mailing address:
  • Phone: 623-444-6765
  • Fax: 623-321-6737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELANIE DAVIS
Title or Position: CORPORATE OPERATIONS MANAGER
Credential:
Phone: 970-628-9471