Provider Demographics
NPI:1427846211
Name:HONOR AND DIGNITY HEALTHCARE PLLC SUN VALLEY HOME HEALTHCARE
Entity type:Organization
Organization Name:HONOR AND DIGNITY HEALTHCARE PLLC SUN VALLEY HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-584-6153
Mailing Address - Street 1:27658 N 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-4846
Mailing Address - Country:US
Mailing Address - Phone:602-380-5363
Mailing Address - Fax:602-380-5363
Practice Address - Street 1:19820 N 7TH ST STE 230
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1695
Practice Address - Country:US
Practice Address - Phone:602-584-6150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health