Healthcare Provider Details
I. General information
NPI: 1598637563
Provider Name (Legal Business Name): AZ TRUE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
931 E SOUTHERN AVE STE 102
MESA AZ
85204-5035
US
IV. Provider business mailing address
16211 N SCOTTSDALE RD # A6A296
SCOTTSDALE AZ
85254-1584
US
V. Phone/Fax
- Phone: 602-821-6827
- Fax:
- Phone: 602-821-6827
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WH0200X |
| Taxonomy | Home Health Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICCOLE
ARMAOLEA
Title or Position: MEMBER
Credential:
Phone: 602-821-6827