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AMANDA'S CARE HOME LLC NPI 1811044944


NPI Information

NPI: 1811044944
Provider Name: AMANDA'S CARE HOME LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
8647 E PAMPA AVE
MESA, AZ
ZIP 85212
Phone: (480) 373-8437
Get Directions

AMANDA'S CARE HOME LLC is an adult care home custodial care facility in Mesa, AZ. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. AMANDA'S CARE HOME LLC NPI is 1811044944. The provider is registered as an organization entity type.

The provider's business location address is:

8647 E PAMPA AVE
MESA, AZ
ZIP 85212-787
Phone: (480) 373-8437
Fax: (480) 373-8438

The provider's authorized official is Marius A Butas .
The authorized official title is Manager Assisted Living and has the following contact phone number (480) 373-8437.

The enumeration date for this NPI number is 1/4/2007 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
1311ZA0620XCustodial Care FacilityAdult Care HomeALH-A108ARIZONAYes

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
1774267OTHERARIZONAAHCCCS PROVIDER ID NUMBER

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

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