Provider Demographics
NPI:1922454305
Name:API PASSIONATE CARE SERVICES
Entity Type:Organization
Organization Name:API PASSIONATE CARE SERVICES
Other - Org Name:KHALIL A ISMAIL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHALIL
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:602-295-3604
Mailing Address - Street 1:441 S EL DORADO
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-1713
Mailing Address - Country:US
Mailing Address - Phone:602-295-3604
Mailing Address - Fax:
Practice Address - Street 1:441 S EL DORADO
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-1713
Practice Address - Country:US
Practice Address - Phone:602-295-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child