Healthcare Provider Details

I. General information

NPI: 1154529469
Provider Name (Legal Business Name): HI-TECH HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4840 E DOWNING CIR
MESA AZ
85205-6449
US

IV. Provider business mailing address

4840 E DOWNING CIR
MESA AZ
85205-6449
US

V. Phone/Fax

Practice location:
  • Phone: 480-396-3122
  • Fax:
Mailing address:
  • Phone: 480-396-3122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberDDH378
License Number StateAZ

VIII. Authorized Official

Name: DR. MARGIE SIMMONS-STUBER
Title or Position: PRESIDENT
Credential: RN, BSN, NMD
Phone: 480-396-3122