# BECKY HOME HEALTH CARE, LLC

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

## Provider details

- **NPI number:** 1811296262
- **Authorized official:** MR. NATHAN K AGURU MBA (CHIEF ADMINISTRATOR)
- **Authorized official phone:** (623) 455-8777

## Contact information

- **Practice address:** 16551 N DYSART RD STE 104A, SURPRISE, AZ 85378-3707
- **Practice address phone:** (623) 455-8777
- **Practice address fax:** (623) 414-3078
- **Mailing address:** 16551 N. DYSART ROAD, SUITE 104A, SURPRISE, AZ 85374
- **Mailing address phone:** (623) 455-8777
- **Mailing address fax:** (623) 414-3078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | AZ | Yes |
| 311ZA0620X | Adult Care Home Facility | — | AZ | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | AZ | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | AZ | — |
| 385H00000X | Respite Care | — | AZ | — |
| 385HR2055X | Child Mental Illness Respite Care | — | AZ | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | AZ | — |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/24/2011