Teach and Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TEACH AND CARE LLC

Doing business as

Innovative Health Clinic

Practice address

12851 W Bell Rd Ste 118
Surprise, AZ 85378-9609

Phone

(623) 399-9645

Fax

(866) 355-0977

NPI assigned

Mar 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jane Abucha, DNP, ACNP-BC

Title

Owner

Phone

(623) 399-9645

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Health Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1184165565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 N 142ND LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798722",
            "telephone_number": "623-399-9645",
            "fax_number": "866-355-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 W BELL RD STE 118",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789609",
            "telephone_number": "623-399-9645",
            "fax_number": "866-355-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACH AND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "ABUCHA",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-399-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Taylor
• Heather Renae Taylor, FNP-C
• Nicholette Brie Taylor
• Sarita Michelle Taylor, RN
• Elsa Marilyn Tchomgang Tchakoute, PHARMD.
• Henrietta Techago
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• Shamim Tejani, PHARMD
• Daesia Tellez
• Yamel Adriana Tellez, CM

• Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.