Healthcare Provider Details

I. General information

NPI: 1700668993
Provider Name (Legal Business Name): ARBELLA HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 03/01/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E SOUTHERN AVE
MESA AZ
85206-2569
US

IV. Provider business mailing address

3707 E SOUTHERN AVE
MESA AZ
85206-2569
US

V. Phone/Fax

Practice location:
  • Phone: 480-914-0007
  • Fax: 480-914-0008
Mailing address:
  • Phone: 480-914-0007
  • Fax: 480-914-0008

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TARA TAYLOR
Title or Position: CEO
Credential:
Phone: 602-710-6517