Organization
KOCCH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIKODILI C UBA (CHIEF EXECUTIVE OFFICER)
(832) 513-5993
Entity
Organization
Contact information
Practice address
6428 S 23RD AVE, PHOENIX, AZ 85041-5357
(832) 513-5993
Mailing address
21289 S 187TH WAY, QUEEN CREEK, AZ 85142-3668
(832) 513-5993
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/07/2024
Last updated
06/19/2025
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