Healthcare Provider Details

I. General information

NPI: 1851561161
Provider Name (Legal Business Name): PROFESSIONAL HEALTH CARE NETWORK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 E CAMELBACK RD, SUITE 700
PHOENIX AZ
85016
US

IV. Provider business mailing address

2415 E CAMELBACK RD, SUITE 700
PHOENIX AZ
85016
US

V. Phone/Fax

Practice location:
  • Phone: 888-705-5274
  • Fax: 877-612-7066
Mailing address:
  • Phone: 888-705-5274
  • Fax: 877-612-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY TEMPLETON
Title or Position: CHIEF COMPLIANCE AND PRIVACY OFFICE
Credential:
Phone: 602-395-5161