Provider Demographics
NPI:1508051434
Name:AHC HOME HEALTH OF ARIZONA, LLC
Entity Type:Organization
Organization Name:AHC HOME HEALTH OF ARIZONA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-447-9860
Mailing Address - Street 1:2045 S VINEYARD STE 127
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6893
Mailing Address - Country:US
Mailing Address - Phone:480-214-2448
Mailing Address - Fax:480-832-9693
Practice Address - Street 1:2045 S VINEYARD STE 127
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-6893
Practice Address - Country:US
Practice Address - Phone:480-214-2448
Practice Address - Fax:480-832-9693
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-13
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based