Provider Demographics
NPI:1053901744
Name:ARIZONA'S FINEST HOME CARE, LLC
Entity type:Organization
Organization Name:ARIZONA'S FINEST HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAZAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-237-5510
Mailing Address - Street 1:717 W BECK LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-4447
Mailing Address - Country:US
Mailing Address - Phone:602-237-5510
Mailing Address - Fax:602-237-5011
Practice Address - Street 1:717 W BECK LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-4447
Practice Address - Country:US
Practice Address - Phone:602-237-5510
Practice Address - Fax:602-237-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ005375Medicaid