Healthcare Provider Details

I. General information

NPI: 1184764961
Provider Name (Legal Business Name): CARECO LLC DBA RIGHT AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 N OLD LITCHFIELD RD STE A
LITCHFIELD PARK AZ
85340-4316
US

IV. Provider business mailing address

116 N OLD LITCHFIELD RD STE A
LITCHFIELD PARK AZ
85340-4316
US

V. Phone/Fax

Practice location:
  • Phone: 623-547-0700
  • Fax: 623-547-0711
Mailing address:
  • Phone: 623-547-0700
  • Fax: 623-547-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateAZ

VIII. Authorized Official

Name: MR. LEO J BRENNAN
Title or Position: OWNER
Credential:
Phone: 623-547-0700