Provider Demographics
NPI:1912119074
Name:CARING FOR FAMILIES PC
Entity Type:Organization
Organization Name:CARING FOR FAMILIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:PENNIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-783-7000
Mailing Address - Street 1:13838 S 46TH PL STE 125
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-7802
Mailing Address - Country:US
Mailing Address - Phone:480-783-7000
Mailing Address - Fax:480-783-9071
Practice Address - Street 1:13838 S 46TH PL STE 125
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-7802
Practice Address - Country:US
Practice Address - Phone:480-783-7000
Practice Address - Fax:480-753-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ25276Medicare ID - Type Unspecified