Healthcare Provider Details
I. General information
NPI: 1821619396
Provider Name (Legal Business Name): HOME PAIN SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2020
Last Update Date: 09/06/2023
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1137 W BETTY ELYSE LN
PHOENIX AZ
85023-4461
US
IV. Provider business mailing address
1137 W BETTY ELYSE LN
PHOENIX AZ
85023-4461
US
V. Phone/Fax
- Phone: 480-334-7718
- Fax:
- Phone: 480-334-7718
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANET
E
OROZCO
Title or Position: FOUNDER/CEO
Credential: PA-C
Phone: 480-334-7718