Organization
HOME & COMMUNITY BASED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PENNY PERONTO (DIRECTOR)
(623) 516-1305
Entity
Organization
Contact information
Practice address
34322 N 14TH ST, PHOENIX, AZ 85085-7791
(623) 516-1305
(623) 516-1605
Mailing address
711 E CAREFREE HWY, #102-741, PHOENIX, AZ 85085-0101
(623) 516-1305
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157447
AHCCCS PROVIDER #
AZ
Enumeration date
05/09/2007
Last updated
09/11/2025
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