Provider Demographics
NPI:1851561161
Name:PROFESSIONAL CARES LLC
Entity Type:Organization
Organization Name:PROFESSIONAL CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-263-5000
Mailing Address - Street 1:7600 N 16TH ST STE 140
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4460
Mailing Address - Country:US
Mailing Address - Phone:602-263-5000
Mailing Address - Fax:602-249-4120
Practice Address - Street 1:7600 N 16TH ST
Practice Address - Street 2:STE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4460
Practice Address - Country:US
Practice Address - Phone:602-263-5000
Practice Address - Fax:602-249-4120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health