Provider Demographics
NPI:1821269572
Name:CARMO HOME HEALTH CARE
Entity Type:Organization
Organization Name:CARMO HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:BULKAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-386-9307
Mailing Address - Street 1:4131 E.INDIAN SCHOOL ROAD
Mailing Address - Street 2:#307
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018
Mailing Address - Country:US
Mailing Address - Phone:602-386-9307
Mailing Address - Fax:
Practice Address - Street 1:4131 E INDIAN SCHOOL RD
Practice Address - Street 2:#307
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5316
Practice Address - Country:US
Practice Address - Phone:602-386-9307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health