Organization
SACRED HEART HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB BLEVINS (CEO)
(602) 795-0739
Entity
Organization
Contact information
Practice address
2737 E GREENWAY RD STE 6, PHOENIX, AZ 85032-4391
(602) 795-0739
Mailing address
1300 N 78TH ST STE 202, KANSAS CITY, KS 66112-2406
(913) 244-2753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA5140
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03-7438
—
AZ
Enumeration date
07/11/2017
Last updated
06/16/2018
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