Abundant Hearts Homecare LLC
Organization Active NPI In Home Supportive Care Agency · Mesa, AZ
NPI 1609536358 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1609536358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ABUNDANT HEARTS HOMECARE LLC
- Practice address
- 2919 S Ellsworth Rd Ste 129
Mesa, AZ 85212-2167 - Phone
- (480) 771-5011
- Fax
- (480) 739-0933
- NPI assigned
- Dec 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nichole Hazuka, PA
- Title
- Ceo
- Phone
- (303) 704-7209
National Provider Directory
Locations
2919 S Ellsworth Rd
Ste 129
Mesa, AZ 85212
Phone (480) 637-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
2919 S Ellsworth Rd Ste 129
Mesa, AZ 85212-2167
Mailing address
2919 S Ellsworth Rd Ste 129
Mesa, AZ 85212-2167
Phone (480) 771-5011
Other names
- Psalms 23 Inc.
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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 22, 2021. 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.