MEDICARE: CARE CREW, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154298511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CREW, LLC

Provider Business Mailing Address
First Line	:	3707 E SOUTHERN AVE STE 1072
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 E SOUTHERN AVE STE 1072
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6207
Country	:	US
Telephone Number	:	480-269-2739
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET DOLL
Credential	:
Telephone Number	:	928-940-9475

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	03/02/2026

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