Organization
HOME CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKELINE HERRERA (ADMINISTRATOR)
(480) 545-6255
Entity
Organization
Contact information
Practice address
1111 N GILBERT RD, SUITE 210A, GILBERT, AZ 85234-2313
(480) 545-6255
(480) 545-6257
Mailing address
1111 N GILBERT RD, SUITE 210A, GILBERT, AZ 85234-2313
(480) 545-6255
(480) 545-6257
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037289
MEDICARE PTAN
AZ
05
—
625186
—
AZ
Enumeration date
03/11/2009
Last updated
08/04/2011
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