Provider Demographics
NPI:1417698788
Name:CHASE, ANGELA (FAMILY CAREGIVER)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:CHASE
Suffix:
Gender:F
Credentials:FAMILY CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 E WELDON AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5820
Mailing Address - Country:US
Mailing Address - Phone:424-333-6465
Mailing Address - Fax:
Practice Address - Street 1:601 N HAYDEN RD LOT 130
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-4746
Practice Address - Country:US
Practice Address - Phone:424-333-6465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care