Provider Demographics
NPI:1104949668
Name:COZY HEALTHCARE INC
Entity type:Organization
Organization Name:COZY HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:AIZAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-978-4663
Mailing Address - Street 1:1341 SOUTH JORDAN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095
Mailing Address - Country:US
Mailing Address - Phone:801-278-4663
Mailing Address - Fax:801-352-1318
Practice Address - Street 1:1930 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE D103
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3064
Practice Address - Country:US
Practice Address - Phone:602-978-4663
Practice Address - Fax:602-978-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA3726251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ037237Medicare ID - Type Unspecified