Healthcare Provider Details

I. General information

NPI: 1790098481
Provider Name (Legal Business Name): CARE EXCELLENCE HOME HEALTH AND SUPPORTIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1759 E VINEYARD RD
PHOENIX AZ
85042-5728
US

IV. Provider business mailing address

1759 E VINEYARD RD
PHOENIX AZ
85042-5728
US

V. Phone/Fax

Practice location:
  • Phone: 602-714-1391
  • Fax:
Mailing address:
  • Phone: 602-714-1391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHEL HOBSON
Title or Position: PRESIDENT/CEO
Credential:
Phone: 602-714-1391