Healthcare Provider Details
I. General information
NPI: 1619773157
Provider Name (Legal Business Name): HONORHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25550 N LAKE PLEASANT PKWY
PEORIA AZ
85383-1364
US
IV. Provider business mailing address
2500 W UTOPIA RD
PHOENIX AZ
85027-4171
US
V. Phone/Fax
- Phone: 480-534-4530
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TODD
ALLEN
LAPORTE
Title or Position: CEO
Credential:
Phone: 480-587-5052