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Contact Information

HUMANGOOD ARIZONA INC.
7550 N 16TH ST
PHOENIX, AZ85020
 Phone: 602-944-4455
 Fax: 602-371-4171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for HUMANGOOD ARIZONA INC.

NPI Number 1619058120
LBN Legal business name HUMANGOOD ARIZONA INC.
Authorized official GWEN VANGELISTO - (DIRECTOR OF ACCOUNTS RECEIVABLE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 06/02/2025 - More than a year ago
Identifiers
AZ License # NCI232
AZ Medicaid 182569
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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