Healthcare Provider Details

I. General information

NPI: 1790325934
Provider Name (Legal Business Name): TNG HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4802 E RAY RD STE 23-586
PHOENIX AZ
85044-6405
US

IV. Provider business mailing address

4802 E RAY RD STE 23-586
PHOENIX AZ
85044-6405
US

V. Phone/Fax

Practice location:
  • Phone: 480-352-7039
  • Fax:
Mailing address:
  • Phone: 480-352-7039
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN NJUGUNA
Title or Position: CEO
Credential:
Phone: 480-352-7039