Healthcare Provider Details

I. General information

NPI: 1386560217
Provider Name (Legal Business Name): DJIO HOLDINGS INCORPORATED DBA FIRSTLIGHT HOME CARE OF CAVE CREEK, AZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1961 W BRAMBLE BERRY LN
PHOENIX AZ
85085-8119
US

IV. Provider business mailing address

1961 W BRAMBLE BERRY LN
PHOENIX AZ
85085-8119
US

V. Phone/Fax

Practice location:
  • Phone: 602-638-2555
  • 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: MR. INNOCENT DJIOFACK
Title or Position: OWNER
Credential:
Phone: 404-751-8024