Healthcare Provider Details

I. General information

NPI: 1447175054
Provider Name (Legal Business Name): AZ QUALITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7529 W ST KATERI DR
LAVEEN AZ
85339-7078
US

IV. Provider business mailing address

7529 W ST KATERI DR
LAVEEN AZ
85339-7078
US

V. Phone/Fax

Practice location:
  • Phone: 414-336-1740
  • Fax:
Mailing address:
  • Phone: 414-336-1740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SHENICQUA MARIE BILLINGS-TROUPE
Title or Position: OWNER
Credential:
Phone: 414-336-1740