Provider Demographics
NPI:1538325790
Name:CAPABLE HANDS ADULT CARE INC.
Entity Type:Organization
Organization Name:CAPABLE HANDS ADULT CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GALLINARO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:623-486-1584
Mailing Address - Street 1:9912 N. 87TH AVE.
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-8314
Mailing Address - Country:US
Mailing Address - Phone:623-486-1584
Mailing Address - Fax:623-412-0367
Practice Address - Street 1:9912 N 87TH AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-8314
Practice Address - Country:US
Practice Address - Phone:623-486-1584
Practice Address - Fax:623-412-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH-1324310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility