Healthcare Provider Details

I. General information

NPI: 1689668923
Provider Name (Legal Business Name): COMMUNITY OF HELPING ANGELS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10240 N 31ST AVE SU. 114
PHOENIX AZ
85051-9558
US

IV. Provider business mailing address

10240 N 31ST AVE SU. 114
PHOENIX AZ
85051-9558
US

V. Phone/Fax

Practice location:
  • Phone: 602-595-5129
  • Fax: 602-938-3797
Mailing address:
  • Phone: 602-595-5129
  • Fax: 602-938-3797

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 Code376J00000X
TaxonomyHomemaker
License NumberUNLICENSED
License Number StateAZ

VIII. Authorized Official

Name: RICHARD KINGMAN DODGE
Title or Position: SECRETARY-TREASURER
Credential: RN
Phone: 602-439-1528