Healthcare Provider Details

I. General information

NPI: 1508720392
Provider Name (Legal Business Name): ALEGRIA HOME CARE AZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N CENTRAL AVE
PHOENIX AZ
85004-2322
US

IV. Provider business mailing address

2 N CENTRAL AVE STE 1800
PHOENIX AZ
85004-2139
US

V. Phone/Fax

Practice location:
  • Phone: 516-605-5236
  • Fax:
Mailing address:
  • Phone: 516-605-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ISRAEL LALLOUZ
Title or Position: DIRECTOR
Credential:
Phone: 516-605-5236