Healthcare Provider Details

I. General information

NPI: 1194956128
Provider Name (Legal Business Name): AMERICAN FOCUS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43920 N 44TH LN
PHOENIX AZ
85087-5929
US

IV. Provider business mailing address

43920 N 44TH LN
PHOENIX AZ
85087-5929
US

V. Phone/Fax

Practice location:
  • Phone: 602-446-5300
  • Fax:
Mailing address:
  • Phone: 602-446-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number3719
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number449789
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3719
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number3719
License Number StateAZ
# 6
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number3719
License Number StateAZ

VIII. Authorized Official

Name: NIKE ROGERS
Title or Position: PROGRAM MANAGER
Credential:
Phone: 602-446-5300