MEDICARE: HOPE & HEALING HOME SERVICES LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1083422190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE & HEALING HOME SERVICES LLC

Provider Business Mailing Address
First Line	:	7949 W ENCINAS LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-1634
Country	:	US
Telephone Number	:	480-931-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	7949 W ENCINAS LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85043-1634
Country	:	US
Telephone Number	:	480-931-2334
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	LEIGHANN MESA
Credential	:
Telephone Number	:	480-931-2334

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	12/20/2024

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