Provider Demographics
NPI:1508081860
Name:ARIZONA LIFT AND CARE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:ARIZONA LIFT AND CARE SPECIALISTS, LLC
Other - Org Name:ARIZONA LIFT AND CARE SPECIALISTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKENSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-401-4411
Mailing Address - Street 1:5357 N CAMINO DE OESTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9704
Mailing Address - Country:US
Mailing Address - Phone:520-401-4411
Mailing Address - Fax:520-690-0845
Practice Address - Street 1:5357 N CAMINO DE OESTE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9704
Practice Address - Country:US
Practice Address - Phone:520-401-4411
Practice Address - Fax:520-690-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20084316332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ991861Medicaid
AZ6061120001Medicare NSC