Provider Demographics
NPI:1063835973
Name:ALL HOME CARE LLC
Entity type:Organization
Organization Name:ALL HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIDEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-505-3272
Mailing Address - Street 1:3101 N CENTRAL AVE
Mailing Address - Street 2:SUITE 160
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2645
Mailing Address - Country:US
Mailing Address - Phone:602-626-8345
Mailing Address - Fax:602-626-8840
Practice Address - Street 1:3101 N CENTRAL AVE
Practice Address - Street 2:SUITE 160
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2645
Practice Address - Country:US
Practice Address - Phone:602-626-8345
Practice Address - Fax:602-626-8840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care