Provider Demographics
NPI:1194956128
Name:AMERICAN FOCUS CARE
Entity type:Organization
Organization Name:AMERICAN FOCUS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-446-5300
Mailing Address - Street 1:43920 N 44TH LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-5929
Mailing Address - Country:US
Mailing Address - Phone:602-446-5300
Mailing Address - Fax:
Practice Address - Street 1:43920 N 44TH LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85087-5929
Practice Address - Country:US
Practice Address - Phone:602-446-5300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ449789251G00000X
AZ3719253Z00000X, 251C00000X, 343900000X, 385H00000X
AZ251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ449789OtherAHCCCS
AZ449789Medicaid
AZ3719OtherDDD
AZ437134Medicaid