Healthcare Provider Details

I. General information

NPI: 1023967635
Provider Name (Legal Business Name): BISHO CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

IV. Provider business mailing address

515 W BUCKEYE RD STE 307
PHOENIX AZ
85003-2650
US

V. Phone/Fax

Practice location:
  • Phone: 602-345-1039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUHAYB ALSABBRY
Title or Position: OWNER
Credential:
Phone: 602-516-8798