Healthcare Provider Details
I. General information
NPI: 1043194269
Provider Name (Legal Business Name): MULEE HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2345 E THOMAS RD STE 80
PHOENIX AZ
85016-7858
US
IV. Provider business mailing address
2345 E THOMAS RD STE 80
PHOENIX AZ
85016-7858
US
V. Phone/Fax
- Phone: 602-693-3530
- Fax:
- Phone: 602-693-3530
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
SINNAH
Title or Position: OWNER
Credential:
Phone: 602-693-3530