Healthcare Provider Details

I. General information

NPI: 1508716465
Provider Name (Legal Business Name): HB UPSCALE ASSISTANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W CLARENDON AVE STE 300
PHOENIX AZ
85013-3495
US

IV. Provider business mailing address

300 W CLARENDON AVE STE 300
PHOENIX AZ
85013-3495
US

V. Phone/Fax

Practice location:
  • Phone: 480-220-8684
  • Fax:
Mailing address:
  • Phone: 480-220-8684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: AVIS HAYNES
Title or Position: OWNER
Credential:
Phone: 314-599-5650