MEDICARE: SUN CHASE CARE

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	:	1801513528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN CHASE CARE

Provider Business Mailing Address
First Line	:	14621 N DEL WEBB BLVD
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2144
Country	:	US
Telephone Number	:	623-499-3290
Fax Number	:	602-314-4188

Provider Business Practice Location Address
First Line	:	14621 N DEL WEBB BLVD
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-2144
Country	:	US
Telephone Number	:	623-499-3290
Fax Number	:	602-314-4188

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. VICKI L CASTLEMAN
Credential	:
Telephone Number	:	623-499-3290

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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Directions to “SUN CHASE CARE ” Practice Location

Language	Start Address	Practice Location

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