Healthcare Provider Details

I. General information

NPI: 1306291695
Provider Name (Legal Business Name): A TO Z HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2016
Last Update Date: 09/14/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20616 N CAVE CREEK RD SUITE C-112 SUITE C-112
PHOENIX AZ
85024
US

IV. Provider business mailing address

20616 N CAVE CREEK RD SUITE C-112 SUITE C-112
PHOENIX AZ
85024
US

V. Phone/Fax

Practice location:
  • Phone: 602-622-8621
  • Fax: 480-386-7108
Mailing address:
  • Phone: 602-622-8621
  • Fax: 480-386-7108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number893282
License Number StateAZ

VIII. Authorized Official

Name: MR. CHIJIOKE JUSTIN OFUANI
Title or Position: OWNER
Credential:
Phone: 972-585-1106