Provider Demographics
NPI:1831861715
Name:ARIZONA TENDER CARE LLC
Entity type:Organization
Organization Name:ARIZONA TENDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:WANGECHI
Authorized Official - Last Name:NGUGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-752-0549
Mailing Address - Street 1:275 W JUNIPER AVE APT 2041
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-3929
Mailing Address - Country:US
Mailing Address - Phone:160-275-2054
Mailing Address - Fax:
Practice Address - Street 1:275 W JUNIPER AVE APT 2041
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3929
Practice Address - Country:US
Practice Address - Phone:160-275-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health