Provider Demographics
NPI:1316583891
Name:AUNNI'S HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:AUNNI'S HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TASHANA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-401-5991
Mailing Address - Street 1:5075 N LA CANADA DR STE 177
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-2301
Mailing Address - Country:US
Mailing Address - Phone:520-401-5991
Mailing Address - Fax:
Practice Address - Street 1:5075 N LA CANADA DR STE 177
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-2301
Practice Address - Country:US
Practice Address - Phone:520-401-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ600819OtherAHCCCS