Provider Demographics
NPI:1689490773
Name:AIDWELL HEALTHCARE
Entity type:Organization
Organization Name:AIDWELL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:ANGELICA
Authorized Official - Last Name:RODRIGUEZ-MORALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-460-9111
Mailing Address - Street 1:19580 W INDIAN SCHOOL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-2082
Mailing Address - Country:US
Mailing Address - Phone:480-499-3499
Mailing Address - Fax:
Practice Address - Street 1:19580 W INDIAN SCHOOL RD STE 105
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-2082
Practice Address - Country:US
Practice Address - Phone:480-499-3499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-23
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care