Provider Demographics
NPI:1942954813
Name:MEDICZEN HOME CARE OF ARIZONA, LLC
Entity Type:Organization
Organization Name:MEDICZEN HOME CARE OF ARIZONA, LLC
Other - Org Name:MEDICZEN HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-919-6265
Mailing Address - Street 1:2913 W WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85045-1204
Mailing Address - Country:US
Mailing Address - Phone:480-919-6265
Mailing Address - Fax:866-285-3753
Practice Address - Street 1:2913 W WINDSONG DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85045-1204
Practice Address - Country:US
Practice Address - Phone:602-880-4883
Practice Address - Fax:866-285-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care