Healthcare Provider Details

I. General information

NPI: 1306709845
Provider Name (Legal Business Name): SENA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11225 N 28TH DR STE D115M
PHOENIX AZ
85029-5609
US

IV. Provider business mailing address

11225 N 28TH DR STE D115M
PHOENIX AZ
85029-5609
US

V. Phone/Fax

Practice location:
  • Phone: 480-322-0801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: DEBELA MENGESHA
Title or Position: OWNER
Credential:
Phone: 480-322-0801