Provider Demographics
NPI:1114341237
Name:A2Z HOUSECALLS, LLC
Entity Type:Organization
Organization Name:A2Z HOUSECALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-347-0310
Mailing Address - Street 1:PO BOX 10377
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85064-0377
Mailing Address - Country:US
Mailing Address - Phone:480-347-0310
Mailing Address - Fax:480-365-0209
Practice Address - Street 1:20624 N CAVE CREEK RD
Practice Address - Street 2:SUITE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4453
Practice Address - Country:US
Practice Address - Phone:480-347-0310
Practice Address - Fax:480-365-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2677363LA2200X
AZAP0322363LA2200X
AZAP4859363LF0000X
AZF0513130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty