Healthcare Provider Details

I. General information

NPI: 1346161106
Provider Name (Legal Business Name): S & M CARING HEARTS ASSISTED LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 S 27TH LN
PHOENIX AZ
85041-4409
US

IV. Provider business mailing address

5727 S 27TH LN
PHOENIX AZ
85041-4409
US

V. Phone/Fax

Practice location:
  • Phone: 602-718-7951
  • Fax: 602-296-0436
Mailing address:
  • Phone: 602-718-7951
  • Fax: 602-296-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE MUKABUKOMBE
Title or Position: MANAGER
Credential:
Phone: 602-718-7951