Healthcare Provider Details

I. General information

NPI: 1356282131
Provider Name (Legal Business Name): WEST VALLEY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15150 W PARK PL STE 215
GOODYEAR AZ
85395-2386
US

IV. Provider business mailing address

15150 W PARK PL STE 215
GOODYEAR AZ
85395-2386
US

V. Phone/Fax

Practice location:
  • Phone: 623-900-0588
  • Fax: 623-900-0588
Mailing address:
  • Phone: 623-900-0588
  • Fax: 623-900-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHARLES C DUNN
Title or Position: OWNER
Credential: DUNN
Phone: 518-935-0135