MAX CARE CENTER LLC


Address: 2239 W Hasan Dr, Phoenix, AZ 85041-5312
Phone: 6192487143

MAX CARE CENTER LLC (NPI# 1437768892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437768892
Entity Type Organization
Organization Name MAX CARE CENTER LLC
Practice Address 2239 W Hasan Dr
Phoenix
AZ 85041-5312
Practice Telephone 6192487143
Enumeration Date 2020-07-30
Last Update Date 2020-10-21
Authorized Official Name MELINA WILLIAMS (OWNER)
Authorized Official Telephone 6192487143
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Office Location

Street Address 2239 W HASAN DR
City PHOENIX
State AZ
Zip Code 85041-5312

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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

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Competitor

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City PHOENIX
Zip Code 85041

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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