Healthcare Provider Details

I. General information

NPI: 1437333606
Provider Name (Legal Business Name): URGENT HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4045 E BELL RD SUITE 129
PHOENIX AZ
85032
US

IV. Provider business mailing address

4045 E BELL RD SUITE 129
PHOENIX AZ
85032
US

V. Phone/Fax

Practice location:
  • Phone: 602-451-0884
  • Fax:
Mailing address:
  • Phone: 602-687-9625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: EDUARD B SULEYMANOV
Title or Position: PRESIDENT
Credential:
Phone: 480-699-1587