# AEGIS HOMECARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aegis Homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902179302
- **Authorized official:** BENJAMIN LARSEN (ADMINISTRATOR)
- **Authorized official phone:** (435) 754-4962

## Contact information

- **Practice address:** 7227 E BASELINE RD STE 127, MESA, AZ 85209-5006
- **Practice address phone:** (480) 219-4790
- **Practice address fax:** (480) 584-5871
- **Mailing address:** 7227 E BASELINE RD STE 127, MESA, AZ 85209-5006
- **Mailing address phone:** (480) 219-4790
- **Mailing address fax:** (480) 584-5871

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 12/20/2019