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Contact Information

DESPAIN SENIOR CARE LLC
17100 E SHEA BLVD STE 530
FOUNTAIN HILLS, AZ85268-6661
 Phone: 480-500-6550
 Fax: 480-664-4295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for DESPAIN SENIOR CARE LLC

NPI Number 1558857318
LBN Legal business name DESPAIN SENIOR CARE LLC
Authorized official MARTIN DESPAIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2018
Last updated 07/05/2018 - About 8 years ago
Identifiers
AZ Medicaid 346614
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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