Provider Demographics
NPI:1184165565
Name:TEACH AND CARE LLC
Entity type:Organization
Organization Name:TEACH AND CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUCHA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ACNP-BC
Authorized Official - Phone:623-399-9645
Mailing Address - Street 1:14332 N 142ND LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-8722
Mailing Address - Country:US
Mailing Address - Phone:623-399-9645
Mailing Address - Fax:866-355-0977
Practice Address - Street 1:12851 W BELL RD STE 118
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9609
Practice Address - Country:US
Practice Address - Phone:623-399-9645
Practice Address - Fax:866-355-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ796987Medicaid