Healthcare Provider Details

I. General information

NPI: 1225635022
Provider Name (Legal Business Name): ALL WAYS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14631 N CAVE CREEK RD STE 101
PHOENIX AZ
85022-4100
US

IV. Provider business mailing address

14631 N CAVE CREEK RD STE 101
PHOENIX AZ
85022-4100
US

V. Phone/Fax

Practice location:
  • Phone: 602-303-3415
  • Fax:
Mailing address:
  • Phone: 602-303-3415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORENA SULEYMANOVA
Title or Position: OWNER
Credential:
Phone: 480-828-0143