Provider Demographics
NPI:1528380524
Name:ARIZONA CARE & ENRICHMENT SERVICES, INC
Entity Type:Organization
Organization Name:ARIZONA CARE & ENRICHMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDELRAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-430-6358
Mailing Address - Street 1:750 W. BROADWAY RD
Mailing Address - Street 2:APT 1014
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283
Mailing Address - Country:US
Mailing Address - Phone:480-430-6358
Mailing Address - Fax:
Practice Address - Street 1:1655 E. SOUTHERN AVE
Practice Address - Street 2:APT 45
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-430-6358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home