Provider Demographics
NPI:1699442699
Name:SONORAN VALLEY HOME CARE INC.
Entity type:Organization
Organization Name:SONORAN VALLEY HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRANG
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L, CHT
Authorized Official - Phone:480-569-2575
Mailing Address - Street 1:3530 S VAL VISTA DR STE 102
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7319
Mailing Address - Country:US
Mailing Address - Phone:480-569-2575
Mailing Address - Fax:480-569-2576
Practice Address - Street 1:3530 S VAL VISTA DR STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7319
Practice Address - Country:US
Practice Address - Phone:480-569-2575
Practice Address - Fax:480-569-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1609034255OtherNPI