Healthcare Provider Details

I. General information

NPI: 1659690865
Provider Name (Legal Business Name): CARING HANDS PEDIATRIC THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 08/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 S. POWER RD STE 103-365
MESA AZ
85206-3768
US

IV. Provider business mailing address

1959 S. POWER RD STE 103-365
MESA AZ
85206-3768
US

V. Phone/Fax

Practice location:
  • Phone: 480-518-1535
  • Fax: 450-629-5443
Mailing address:
  • Phone: 480-518-1535
  • Fax: 450-629-5443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberSLP0533
License Number StateAZ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. KATHERINE L SULSER
Title or Position: PREVIOUS OWNER
Credential: MA. CCC-SLP
Phone: 480-518-1535