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WICKENBURG HOME CARE NPI 1073722765


NPI Information

NPI: 1073722765
Provider Name: WICKENBURG HOME CARE
Classification: Chore Provider - 372500000X
Entity Type: Organization
Address:
1020 W WICKENBURG WAY
STE 4
WICKENBURG, AZ
ZIP 85390
Phone: (928) 684-3201
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WICKENBURG HOME CARE is a chore provider in Wickenburg, AZ. The provider is an individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. WICKENBURG HOME CARE NPI is 1073722765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 W WICKENBURG WAY
STE 4
WICKENBURG, AZ
ZIP 85390-290
Phone: (928) 684-3201
Fax: (928) 684-0684

The provider's authorized official is Lafaye J House .
The authorized official title is Bookkeeper and has the following contact phone number (928) 684-3201.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372500000XChore ProviderL13325529ARIZONAYes
2374U00000XHome Health AideL13325529ARIZONAX
3376J00000XHomemakerL13325529ARIZONAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1198634MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.