Healthcare Provider Details

I. General information

NPI: 1114850518
Provider Name (Legal Business Name): FLOURISH OPERATING GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 E ROSE GARDEN LN UNIT 71201
PHOENIX AZ
85050-7709
US

IV. Provider business mailing address

1024 E MONONA DR
PHOENIX AZ
85024-4129
US

V. Phone/Fax

Practice location:
  • Phone: 480-480-5815
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE VASQUEZ
Title or Position: PRESIDENT AND OWNER
Credential:
Phone: 714-740-9943