MEDICARE: COTTAGE HOME CARE AZ 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1609714500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTAGE HOME CARE AZ LLC

Provider Business Mailing Address
First Line	:	2025 N 3RD ST STE B300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1471
Country	:	US
Telephone Number	:	480-885-2636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 N 3RD ST STE B300
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1471
Country	:	US
Telephone Number	:	480-885-2636
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALLEN STEIN
Credential	:
Telephone Number	:	480-885-2636

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “COTTAGE HOME CARE AZ LLC ” Practice Location

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