Healthcare Provider Details

I. General information

NPI: 1073442471
Provider Name (Legal Business Name): ARIZONA HOME HEALTH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHALLENGER RD STE 105
RIDGEFIELD PARK NJ
07660-2121
US

IV. Provider business mailing address

100 CHALLENGER RD STE 105
RIDGEFIELD PARK NJ
07660-2121
US

V. Phone/Fax

Practice location:
  • Phone: 516-507-7063
  • 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 State

VIII. Authorized Official

Name: BRYAN LYNCH
Title or Position: DIRECTOR OF CORPORATE DEVELOPMENT
Credential:
Phone: 516-507-7063