Healthcare Provider Details

I. General information

NPI: 1104578517
Provider Name (Legal Business Name): HANDS OF CARE ALH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11444 N 88TH PL
SCOTTSDALE AZ
85260-6804
US

IV. Provider business mailing address

11444 N 88TH PL
SCOTTSDALE AZ
85260-6804
US

V. Phone/Fax

Practice location:
  • Phone: 480-264-6044
  • Fax: 480-264-4785
Mailing address:
  • Phone: 480-264-6044
  • Fax: 480-264-4785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVA OPREA
Title or Position: OWNER/MANAGER
Credential:
Phone: 623-217-8314