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TEACH AND CARE LLC NPI 1184165565


NPI Information

NPI: 1184165565
Provider Name: TEACH AND CARE LLC

Doing Business As: INNOVATIVE HEALTH CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 03D2132608

Address:
12851 W BELL RD STE 118
SURPRISE, AZ
ZIP 85378
Phone: (623) 399-9645
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TEACH AND CARE LLC is a clinic center in Surprise, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TEACH AND CARE LLC NPI is 1184165565. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Health Clinic.

The provider's business location address is:

12851 W BELL RD STE 118
SURPRISE, AZ
ZIP 85378-609
Phone: (623) 399-9645
Fax: (866) 355-0977

The provider's authorized official is Jane Abucha .
The authorized official title is Owner and has the following contact phone number (623) 399-9645.

The CLIA number assigned to this NPI record is 03D2132608 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 9/22/2020.


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
1251E00000XHome HealthNo
2261Q00000XClinic/CenterYes

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
1796987MEDICAIDARIZONA

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: 11/14/2023

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.