Healthcare Provider Details

I. General information

NPI: 1285557660
Provider Name (Legal Business Name): HAMEL DIRECT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6677 W THUNDERBIRD RD STE G101
GLENDALE AZ
85306-3724
US

IV. Provider business mailing address

12108 W SAGUARO LN
EL MIRAGE AZ
85335-6907
US

V. Phone/Fax

Practice location:
  • Phone: 623-336-9118
  • Fax:
Mailing address:
  • Phone: 623-336-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMIR JOSEPH HAMEL
Title or Position: OWNER
Credential: FNP-C
Phone: 623-336-9118