Healthcare Provider Details
I. General information
NPI: 1881572568
Provider Name (Legal Business Name): HOZHO HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4411 E CHANDLER BLVD APT 2028
PHOENIX AZ
85048-7669
US
IV. Provider business mailing address
4411 E CHANDLER BLVD APT 2028
PHOENIX AZ
85048-7669
US
V. Phone/Fax
- Phone: 480-528-3956
- Fax:
- Phone: 480-528-3956
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3104A0625X |
| Taxonomy | Assisted Living Facility (Mental Illness) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3104A0630X |
| Taxonomy | Assisted Living Facility (Behavioral Disturbances) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MAKAILA
MAY
BEGAY
Title or Position: CEO
Credential:
Phone: 480-528-3956