Provider Demographics
NPI:1902620669
Name:HANDLED HOME CARE LC
Entity type:Organization
Organization Name:HANDLED HOME CARE LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHABABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-547-9324
Mailing Address - Street 1:3101 N. CENTRAL AVE, #4461
Mailing Address - Street 2:SUITE 183
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012
Mailing Address - Country:US
Mailing Address - Phone:602-456-5998
Mailing Address - Fax:
Practice Address - Street 1:3101 N. CENTRAL AVE, 183
Practice Address - Street 2:#4461
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012
Practice Address - Country:US
Practice Address - Phone:602-456-5998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care