Provider Demographics
NPI:1053908061
Name:TRUSTED BEHAVIORAL HOME CARE LLC
Entity type:Organization
Organization Name:TRUSTED BEHAVIORAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATAA
Authorized Official - Middle Name:POKUAA
Authorized Official - Last Name:ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:480-300-2143
Mailing Address - Street 1:21549 N BACKUS DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-8600
Mailing Address - Country:US
Mailing Address - Phone:480-300-2143
Mailing Address - Fax:
Practice Address - Street 1:21549 N BACKUS DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-8600
Practice Address - Country:US
Practice Address - Phone:480-300-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health