360 Homecare LLC
Organization Active NPI In Home Supportive Care Agency · Avondale, AZ
NPI 1497561971 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1497561971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 360 HOMECARE LLC
- Practice address
- 12378 W Locust LN
Avondale, AZ 85323-1239 - Phone
- (480) 290-4943
- NPI assigned
- Dec 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Stephanie Campbell
- Title
- Secratary
- Phone
- (480) 749-2006
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
12378 W Locust LN
Avondale, AZ 85323-1239
Mailing address
12378 W Locust LN
Avondale, AZ 85323-1239
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.