Healthcare Provider Details

I. General information

NPI: 1649115817
Provider Name (Legal Business Name): BE SAFE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3138 N 48TH DR
PHOENIX AZ
85031-3613
US

IV. Provider business mailing address

12658 W PONTEBELLA DR
PEORIA AZ
85383-5019
US

V. Phone/Fax

Practice location:
  • Phone: 623-986-0500
  • Fax:
Mailing address:
  • Phone: 623-986-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BYRON GRAYSON
Title or Position: OWNER
Credential: PA
Phone: 623-986-0500