Healthcare Provider Details

I. General information

NPI: 1750516019
Provider Name (Legal Business Name): FOUNDERS HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 08/03/2018
Certification Date:
Deactivation Date: 09/01/2010
Reactivation Date: 10/12/2010

III. Provider practice location address

14731 FRANKLIN AVE UNIT K
TUSTIN CA
92780
US

IV. Provider business mailing address

PO BOX 40700
MESA AZ
85274-0700
US

V. Phone/Fax

Practice location:
  • Phone: 714-544-5900
  • Fax: 714-544-5955
Mailing address:
  • Phone: 480-446-9010
  • Fax: 480-446-7695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM KEYS
Title or Position: CEO
Credential:
Phone: 480-446-9010