Healthcare Provider Details

I. General information

NPI: 1841113339
Provider Name (Legal Business Name): HAYCO HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 N 16TH ST STE 200
PHOENIX AZ
85020-4447
US

IV. Provider business mailing address

7600 N 16TH ST STE 200
PHOENIX AZ
85020-4447
US

V. Phone/Fax

Practice location:
  • Phone: 602-443-4700
  • Fax:
Mailing address:
  • Phone: 602-443-4700
  • 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: MRS. CHERYL LYNN LOVELL
Title or Position: CEO
Credential: LOVELL
Phone: 480-313-9250