Healthcare Provider Details

I. General information

NPI: 1477594877
Provider Name (Legal Business Name): FOUNDERS HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4602 E HAMMOND LN
PHOENIX AZ
85034
US

IV. Provider business mailing address

PO BOX 40700
MESA AZ
85274-0700
US

V. Phone/Fax

Practice location:
  • Phone: 480-993-2097
  • Fax: 480-505-0455
Mailing address:
  • Phone: 480-882-0535
  • Fax: 480-993-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: GREGORY MCCARTHY
Title or Position: CHIEF OPERATIONS OFFICER
Credential: AO
Phone: 727-259-2255