Healthcare Provider Details

I. General information

NPI: 1720145378
Provider Name (Legal Business Name): ACUMEN FISCAL AGENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5416 E BASELINE RD STE 200
MESA AZ
85206-4704
US

IV. Provider business mailing address

5416 E BASELINE RD STE 200
MESA AZ
85206-4704
US

V. Phone/Fax

Practice location:
  • Phone: 480-295-3328
  • Fax: 480-339-2123
Mailing address:
  • Phone: 480-295-3328
  • Fax: 480-339-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOSHUA J AUER
Title or Position: CEO
Credential:
Phone: 877-211-3738