Healthcare Provider Details
I. General information
NPI: 1154244911
Provider Name (Legal Business Name): ANCHOR HEALTH HOMECARE ARIZONA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 N 15TH ST STE 150
PHOENIX AZ
85020-4305
US
IV. Provider business mailing address
7600 N 15TH ST STE 150
PHOENIX AZ
85020-4305
US
V. Phone/Fax
- Phone: 551-233-8603
- Fax:
- Phone: 551-233-8603
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARON
GREENFELD
Title or Position: DIRECTOR
Credential:
Phone: 551-233-8603