Provider Demographics
NPI:1750564597
Name:AZ-AHC,INC.
Entity type:Organization
Organization Name:AZ-AHC,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAHNAZ
Authorized Official - Middle Name:S
Authorized Official - Last Name:POURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-827-1001
Mailing Address - Street 1:459 N GILBERT RD
Mailing Address - Street 2:SUITE C120
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4591
Mailing Address - Country:US
Mailing Address - Phone:480-827-1001
Mailing Address - Fax:
Practice Address - Street 1:459 N GILBERT RD
Practice Address - Street 2:SUITE C120
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4591
Practice Address - Country:US
Practice Address - Phone:480-827-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health