# INK HEALTHCARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INK HEALTHCARE GROUP LLC
- **Other names:** Ink Homecare and support services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518246305
- **Legal business name:** INK HEALTHCARE GROUP LLC
- **Authorized official:** JOHN VAUGHN (OWNER)
- **Authorized official phone:** (602) 218-5391

## Contact information

- **Practice address:** 8020 N 12TH ST, PHOENIX, AZ 85020-3802
- **Practice address phone:** (602) 218-5391
- **Mailing address:** PO BOX 26362, PHOENIX, AZ 85068-6362
- **Mailing address phone:** (602) 218-5391
- **Mailing address fax:** (602) 427-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | L16865045 | AZ | Yes |
| 253Z00000X | In Home Supportive Care Agency | L16865045 | AZ | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 02/08/2012