Azcare4Life

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AZCARE4LIFE

Practice address

3414 W Alicia Dr # 679
Laveen, AZ 85339-3803

Phone

(602) 980-0118

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazen Elnahas

Title

Administrator/Co-Owener

Phone

(480) 627-9814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1730706268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 S 51ST AVE UNIT 679",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393929",
            "telephone_number": "480-627-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W ALICIA DR # 679",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393803",
            "telephone_number": "602-980-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZCARE4LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "ELNAHAS",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/CO-OWENER",
        "authorized_official_telephone_number": "480-627-9814"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Peace Behavior Management
• Avenue to Hope LLC
• Az Champions LLC
• Az Mobile Medical Clinic LLC
• Az Quality Care LLC
• Scott Babb, MD
• Laura Baggiore
• Bianca Ramona Baker, CNA
• Colette Baker, PT
• Ashley Baldwin

• Community/Behavioral Health Agency in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.