Provider Demographics
NPI:1760831507
Name:A-PLUS CARE, LLC
Entity Type:Organization
Organization Name:A-PLUS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KADJI
Authorized Official - Middle Name:
Authorized Official - Last Name:TANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-637-6147
Mailing Address - Street 1:1626 E DUST DEVIL DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-4447
Mailing Address - Country:US
Mailing Address - Phone:480-809-3768
Mailing Address - Fax:480-323-2758
Practice Address - Street 1:1626 E DUST DEVIL DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-4447
Practice Address - Country:US
Practice Address - Phone:480-809-3768
Practice Address - Fax:480-323-2758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-11
Last Update Date:2016-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness