Healthcare Provider Details

I. General information

NPI: 1629980586
Provider Name (Legal Business Name): FAMILY STANDARD HOME CARE & SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 N TATUM BLVD STE 300
PHOENIX AZ
85028-6039
US

IV. Provider business mailing address

11201 N TATUM BLVD STE 300
PHOENIX AZ
85028-6039
US

V. Phone/Fax

Practice location:
  • Phone: 480-944-0358
  • Fax:
Mailing address:
  • Phone: 480-944-0358
  • 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: MARCUS DEGROFF
Title or Position: OWNER
Credential:
Phone: 480-944-2658