Healthcare Provider Details

I. General information

NPI: 1306437835
Provider Name (Legal Business Name): DO MORE GROUP HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17164 W HEDGEHOG PL
SURPRISE AZ
85387-3446
US

IV. Provider business mailing address

17164 W HEDGEHOG PL
SURPRISE AZ
85387-3446
US

V. Phone/Fax

Practice location:
  • Phone: 601-618-9750
  • Fax:
Mailing address:
  • Phone: 601-618-9750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID CHASE
Title or Position: PRESIDENT
Credential:
Phone: 601-618-9750