Wellformed AI

NPI 1114793387 · live from the CMS NPI Registry

Aaa Patriot Care Alliance Healthcare Agency INC.

Home Health in Casa Grande, AZ. National Provider Identifier 1114793387, active.

NPI record

NPI1114793387 Type 2 · organization
StatusActive
Primary specialtyHome Health 251E00000X
Practice location1239 W Castle Dr, Casa Grande, AZ 85122
Practice phone520-518-0844
EnumeratedNovember 29, 2023
Last updatedDecember 18, 2023
Authorized officialPatricia Jefferson, Founder

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility, Nursing Care, Pediatric3140N1450X—
Intermediate Care Facility, Intellectual Disabilities315P00000X—
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities320900000X—
Non-emergency Medical Transport (VAN)343900000X—
Respite Care385H00000X—
Home Infusion251F00000X—
Hospice Care, Community Based251G00000X—
Nursing Care251J00000X—
In Home Supportive Care253Z00000X—
Intermediate Care Facility, Mental Illness310500000X—
Custodial Care Facility311Z00000X—
Meals174200000X—
Occupational Therapist, Feeding, Eating & Swallowing225XF0002X—
Case Management251B00000X—
Home Health primary251E00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.