Healthcare Provider Details

I. General information

NPI: 1164326633
Provider Name (Legal Business Name): CAAE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 N SCOTT MINE LN
TUCSON AZ
85745-7121
US

IV. Provider business mailing address

3430 N SCOTT MINE LN
TUCSON AZ
85745-7121
US

V. Phone/Fax

Practice location:
  • Phone: 520-535-4102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: EVELINE DONOVAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 520-535-4102