Healthcare Provider Details

I. General information

NPI: 1922925262
Provider Name (Legal Business Name): AZ HEALTHCARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 S GILBERT RD # B
MESA AZ
85204-6088
US

IV. Provider business mailing address

1315 S GILBERT RD # B
MESA AZ
85204-6088
US

V. Phone/Fax

Practice location:
  • Phone: 602-830-6355
  • Fax: 602-830-6567
Mailing address:
  • Phone: 602-830-6355
  • Fax: 602-830-6567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PIYUSH SAKHARELIYA
Title or Position: MANAGER
Credential:
Phone: 602-830-6355