MEDICARE: GRAFTED CARE 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	:	1124973714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAFTED CARE LLC

Provider Business Mailing Address
First Line	:	13576 W CAMINO DEL SOL STE 24
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-4428
Country	:	US
Telephone Number	:	623-241-4460
Fax Number	:	623-278-5406

Provider Business Practice Location Address
First Line	:	13576 W CAMINO DEL SOL STE 24
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-4428
Country	:	US
Telephone Number	:	623-241-4460
Fax Number	:	623-278-5406

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CARLOS TED ALVAREZ
Credential	:
Telephone Number	:	408-221-9500

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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Directions to “GRAFTED CARE LLC ” Practice Location

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