<Unavail>

LBN: Aegis Homecare, Inc
<Unavail> is an health care organization with primary practice located at 7227 E Baseline Rd Ste 127 , Mesa AZ 85209-5006. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Aegis Homecare, Inc can be contacted via phone (480) 219-4790, or through Larsen, Benjamin via phone (435) 754-4962.

Contact Information

Primary practice address
7227 E Baseline Rd Ste 127 Mesa AZ 85209-5006
Phone: (480) 219-4790
Fax: (480) 584-5871
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Benjamin
Phone: (435) 754-4962

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Arizona

Profile Details

NPI number 1902179302
LBN Legal business name Aegis Homecare, Inc
DBA Doing business as <Unavail>
Authorized official Larsen, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Dec 20th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902179302 NPPES
Arizona Other 03D2038146 CLIA WAIVER
Arizona MEDICAID 746297 CLIA WAIVER
Arizona Other HHA5406 CLIA WAIVER

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