Provider Demographics
NPI:1821795378
Name:NAGROM VENTURES, LLC
Entity Type:Organization
Organization Name:NAGROM VENTURES, LLC
Other - Org Name:RIGHT AT HOME QUEEN CREEK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-900-9077
Mailing Address - Street 1:4902 S VAL VISTA DR STE 110
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-7329
Mailing Address - Country:US
Mailing Address - Phone:614-595-5185
Mailing Address - Fax:
Practice Address - Street 1:4902 S VAL VISTA DR STE 110
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-7329
Practice Address - Country:US
Practice Address - Phone:614-595-5185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care