Organization
LOS NINOS HOSPITAL INC
Active
Parent organization
LOS NINOS HOSPITAL INC
Other names
Innovative Home Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS NINOS HOSPITAL INC
Authorized official
BARBARA NEWPORT (CREDENTIALING MANAGER)
(602) 243-4231
Entity
Organization
Contact information
Practice address
1402 E. SOUTH MOUNTAIN AVENUE, PHOENIX, AZ 85042
(602) 243-4231
(602) 323-5988
Mailing address
1402 E. SOUTH MOUNTAIN AVENUE, PHOENIX, AZ 85042
(602) 243-4231
(602) 323-5988
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA3379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818552
—
AZ
01
—
HHA3379
STATE LICENSE
AZ
Enumeration date
10/07/2006
Last updated
06/23/2020
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