Provider Demographics
NPI:1841160983
Name:ST THERESE CARE LLC
Entity type:Organization
Organization Name:ST THERESE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-376-4766
Mailing Address - Street 1:7842 W BROWN ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-0702
Mailing Address - Country:US
Mailing Address - Phone:480-376-4766
Mailing Address - Fax:
Practice Address - Street 1:7842 W BROWN ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-0702
Practice Address - Country:US
Practice Address - Phone:480-376-4766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-05
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility