Healthcare Provider Details

I. General information

NPI: 1386581049
Provider Name (Legal Business Name): NEXT PHASE WELLNESS & MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W BELL RD APT 2072
PHOENIX AZ
85023-3684
US

IV. Provider business mailing address

220 W BELL RD APT 2072
PHOENIX AZ
85023-3684
US

V. Phone/Fax

Practice location:
  • Phone: 520-332-0725
  • Fax:
Mailing address:
  • Phone: 520-332-0725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BERNICE STEWART
Title or Position: OWNER/HEAD OF OPERATIONS
Credential:
Phone: 520-332-0725