Healthcare Provider Details

I. General information

NPI: 1124813381
Provider Name (Legal Business Name): CARING 4 LIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 E APACHE BLVD APT 3016
TEMPE AZ
85281-7089
US

IV. Provider business mailing address

2106 E APACHE BLVD APT 3016
TEMPE AZ
85281-7089
US

V. Phone/Fax

Practice location:
  • Phone: 480-747-0115
  • Fax:
Mailing address:
  • Phone: 480-747-0115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: HALA ALSOUBAII
Title or Position: ADMINISTRATOR/FOUNDER
Credential:
Phone: 480-747-0116