Provider Demographics
NPI:1437666740
Name:DESERT HOME CARE SCOTTSDALE, LLC
Entity Type:Organization
Organization Name:DESERT HOME CARE SCOTTSDALE, LLC
Other - Org Name:HERITAGE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SOCHA
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:480-418-4100
Mailing Address - Street 1:8155 E INDIAN BEND RD STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-4827
Mailing Address - Country:US
Mailing Address - Phone:480-418-4100
Mailing Address - Fax:480-436-7190
Practice Address - Street 1:8155 E INDIAN BEND RD STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4827
Practice Address - Country:US
Practice Address - Phone:480-418-4100
Practice Address - Fax:480-436-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care