Healthcare Provider Details
I. General information
NPI: 1396676383
Provider Name (Legal Business Name): FLEXCARE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7255 E BROADWAY RD RM 7
MESA AZ
85208-9229
US
IV. Provider business mailing address
7255 E BROADWAY RD RM 7
MESA AZ
85208-9229
US
V. Phone/Fax
- Phone: 315-395-1232
- Fax: 315-395-1232
- Phone: 315-395-1232
- Fax: 315-395-1232
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALAN
FEIN
Title or Position: OWNER
Credential:
Phone: 315-395-1232