Healthcare Provider Details

I. General information

NPI: 1982537940
Provider Name (Legal Business Name): ALLEGIANT HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 NORTH TATUM BLVD 3031
PHOENIX AZ
85028-0000
US

IV. Provider business mailing address

1811 NORTH TATUM BLVD STE 3031
PHOENIX AZ
85028-0000
US

V. Phone/Fax

Practice location:
  • Phone: 830-499-6036
  • 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: JASON BEBLEY
Title or Position: CEO
Credential:
Phone: 830-499-6036