Provider Demographics
NPI:1326594979
Name:SILKWOOD ENTERPRISES LLC
Entity Type:Organization
Organization Name:SILKWOOD ENTERPRISES LLC
Other - Org Name:1ST PRIORITY HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-831-8390
Mailing Address - Street 1:9920 S RURAL RD
Mailing Address - Street 2:#108-68
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:638 W BROADWAY RD
Practice Address - Street 2:SUITE 313
Practice Address - City:MESA
Practice Address - State:AR
Practice Address - Zip Code:85210
Practice Address - Country:US
Practice Address - Phone:602-831-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care