Provider Demographics
NPI:1336475953
Name:PRIORITY AT HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PRIORITY AT HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-280-7685
Mailing Address - Street 1:9115 E BASELINE RD
Mailing Address - Street 2:SUITE C102-13
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-7763
Mailing Address - Country:US
Mailing Address - Phone:480-280-7685
Mailing Address - Fax:480-380-2274
Practice Address - Street 1:4856 E BASELINE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4635
Practice Address - Country:US
Practice Address - Phone:480-280-7685
Practice Address - Fax:480-380-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health