Provider Demographics
NPI:1588961098
Name:CARING HEARTS OF ARIZONA LLC
Entity type:Organization
Organization Name:CARING HEARTS OF ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZANELY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARAGOZA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:480-580-1650
Mailing Address - Street 1:6501 E GREENWAY PKWY
Mailing Address - Street 2:103-505
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2065
Mailing Address - Country:US
Mailing Address - Phone:480-922-3299
Mailing Address - Fax:
Practice Address - Street 1:14807 N 73RD ST
Practice Address - Street 2:103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3187
Practice Address - Country:US
Practice Address - Phone:480-922-3299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care