# HERITAGE HOME HEALTHCARE OF ARIZONA, INC

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

## Provider details

- **NPI number:** 1467405498
- **Authorized official:** KIMBERLY JOHANSEN (PRESIDENT)
- **Authorized official phone:** (605) 362-3320

## Contact information

- **Practice address:** 7310 N. 16TH ST, SUITE 228, PHOENIX, AZ 85020
- **Practice address phone:** (602) 745-2900
- **Practice address fax:** (602) 745-2909
- **Mailing address:** 7310 N. 16TH ST., SUITE 228, PHOENIX, AZ 85020
- **Mailing address phone:** (602) 745-2900
- **Mailing address fax:** (602) 745-2909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4166 | AZ | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 03/22/2017