Healthcare Provider Details
I. General information
NPI: 1023920436
Provider Name (Legal Business Name): ECHEZONA KINDRED HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6700 E SPEEDWAY BLVD
TUCSON AZ
85710-1220
US
IV. Provider business mailing address
6700 E. SPEEDWAY BLVD PMB #5005
TUCSON AZ
85710
US
V. Phone/Fax
- Phone: 602-600-7084
- Fax:
- Phone: 602-600-7084
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NKILI
S
ODUNZE
Title or Position: CEO
Credential:
Phone: 602-600-7084