MEDICARE: HAGGAI HEALTHCARE CORP

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	HHA3650	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568526770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAGGAI HEALTHCARE CORP

Provider Business Mailing Address
First Line	:	633 E RAY RD STE 118
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4205
Country	:	US
Telephone Number	:	602-943-5963
Fax Number	:	602-943-4516

Provider Business Practice Location Address
First Line	:	633 E RAY RD STE 118
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4205
Country	:	US
Telephone Number	:	602-943-5963
Fax Number	:	602-943-4516

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON LANG
Credential	:
Telephone Number	:	602-943-5963

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	01/02/2026

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Directions to “HAGGAI HEALTHCARE CORP ” Practice Location

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