| Arizona Select Home Health, Inc. | |
|
7440 W Cactus Rd Ste A19 Peoria AZ 85381-9534 | |
| (480) 428-3526 | |
| (480) 428-3545 |
| Full Name | Arizona Select Home Health, Inc. |
|---|---|
| Speciality | Home Health |
| Location | 7440 W Cactus Rd Ste A19, Peoria, Arizona |
| Authorized Official Name and Position | Layth Jarullah (CEO) |
| Authorized Official Contact | 4804283526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Select Home Health, Inc. 7440 W Cactus Rd Ste A19 Peoria AZ 85381-9534 Ph: (480) 428-3526 | Arizona Select Home Health, Inc. 7440 W Cactus Rd Ste A19 Peoria AZ 85381-9534 Ph: (480) 428-3526 |
| NPI Number | 1295137362 |
|---|---|
| Provider Enumeration Date | 09/20/2014 |
| Last Update Date | 02/03/2024 |
| Certification Date | 02/03/2024 |
| Medicare PECOS PAC ID | 2365664216 |
|---|---|
| Medicare Enrollment ID | O20141110002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295137362 | NPI | - | NPPES |
| 153778 | Other | AZ | AHCCCS (STATE OF ARIZONA) |
| 153778 | Other | AZ | MERCY CARE PLAN (AHCCCS) |
| 153778 | Medicaid | AZ |
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