Organization
MD HOMECARE LLC
Active
Organization
MD HOMECARE LLC
Active
Parent organization
MD HOMECARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD HOMECARE, LLC
Authorized official
MOHAMED KHALIL (CEO)
(602) 362-2983
Entity
Organization
Contact information
Practice address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 362-2983
(480) 565-4552
Mailing address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 362-2983
(480) 565-4552
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720524333
NPI
AZ
05
—
290653
—
AZ
Enumeration date
01/06/2017
Last updated
07/05/2023
Update your record
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