# NEXTCARE PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134868995
- **Authorized official:** MR. WILLY NGANGA (CEO)
- **Authorized official phone:** (480) 743-1205

## Contact information

- **Practice address:** 2942 N 24TH ST STE 114-349, PHOENIX, AZ 85016-7878
- **Practice address phone:** (480) 743-1205
- **Practice address fax:** (480) 666-6765
- **Mailing address:** 2942 N 24TH ST STE 114-349, PHOENIX, AZ 85016-7878
- **Mailing address phone:** (480) 743-1205
- **Mailing address fax:** (480) 666-6765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2022
- **Last updated:** 05/31/2022