4TH Generation Home Care Service LLC
Organization Active NPI Home Health Agency · Phoenix, AZ
NPI 1578317467 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1578317467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- 4TH GENERATION HOME CARE SERVICE LLC
- Practice address
- 2 N Central Ave # 1810
Phoenix, AZ 85004-2322 - Phone
- (314) 971-9784
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Nacole M Taylor
- Title
- Owner
- Phone
- (314) 971-9784
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2 N Central Ave # 1810
Phoenix, AZ 85004-2322
Mailing address
2 N Central Ave # 1810
Phoenix, AZ 85004-2322
Phone (314) 971-9784
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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 Apr 16, 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.