Healthcare Provider Details

I. General information

NPI: 1033347257
Provider Name (Legal Business Name): PAPPY'S HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 E CHANDLER BLVD APT 129
PHOENIX AZ
85048-5839
US

IV. Provider business mailing address

3425 E CHANDLER BLVD APT 129
PHOENIX AZ
85048-5839
US

V. Phone/Fax

Practice location:
  • Phone: 480-772-2487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateAZ

VIII. Authorized Official

Name: JENNIFER MARIE FOSTER
Title or Position: OWNER/NURSE
Credential:
Phone: 480-772-2487