Healthcare Provider Details

I. General information

NPI: 1508051434
Provider Name (Legal Business Name): AHC HOME HEALTH OF ARIZONA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 S VINEYARD STE 127
MESA AZ
85210-6893
US

IV. Provider business mailing address

2045 S VINEYARD STE 127
MESA AZ
85210-6893
US

V. Phone/Fax

Practice location:
  • Phone: 480-214-2448
  • Fax: 480-530-4850
Mailing address:
  • Phone: 480-214-2448
  • Fax: 480-832-9693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FOREST ARNETT
Title or Position: PRESIDENT
Credential:
Phone: 385-622-4500