DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KING'S HEART COMMUNITY HEALTH & WELLNESS

MEDICARE: KING'S HEART COMMUNITY HEALTH & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1043934961
Entity Type Code : Organization
Provider Name (Legal Business Name) : KING'S HEART COMMUNITY HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 5045 W BASELINE RD # 105-179
Second Line :
City : LAVEEN
State : AZ
Zip : 85339-7392
Country : US
Telephone Number : 480-352-5490
Fax Number :
Provider Business Practice Location Address
First Line : 2544 E UNIVERSITY DR STE 150
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-6948
Country : US
Telephone Number : 480-352-5490
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. OMETRIS KING
Credential : LPC
Telephone Number : 480-352-5490
Provider Enumeration Date : 10/04/2022
Last Update Date : 04/14/2023

Similar Medicare Providers

1053309039 — DR. THIHALOLIPAVAN SAYALOLIPAVAN MD
Practice Location Address:
2070 E BASELINE RD
PHOENIX, AZ
85042-6948
Practice Phone: 602-834-9071
Practice Fax: 877-541-4239
1902505647 — VANESSA PORRAS FNP-C
Practice Location Address:
2070 E BASELINE RD
PHOENIX, AZ
85042-6948
Practice Phone: 602-834-9071
Practice Fax:
1528564564 — DANIEL EDWARD ISAAC MD
Practice Location Address:
2070 E BASELINE RD
PHOENIX, AZ
85042-6948
Practice Phone: 602-834-9071
Practice Fax: 877-541-4239
1124782263 — ULDA ELIZABETH RIVERA PA
Practice Location Address:
2070 E BASELINE RD
PHOENIX, AZ
85042-6948
Practice Phone: 602-834-9071
Practice Fax: 877-541-4239
1366199655 — CENTERWELL SENIOR PRIMARY CARE AZ PC
Practice Location Address:
2070 E BASELINE RD
PHOENIX, AZ
85042-6948
Practice Phone: 602-834-9071
Practice Fax: 877-541-4239
1023965274 — ELAINE MICHELLE PAGE
Practice Location Address:
4600 E WASHINGTON ST STE 300
PHOENIX, AZ
85034-1908
Practice Phone: 516-206-8900
Practice Fax:

Directions to “KING'S HEART COMMUNITY HEALTH & WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.