Organization Name: | SPECTRUM HOME HEALTHCARE LLC |
NPI Number: | 1669767703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAGAL ISMAIL (CEO) |
Mailing Address: | 6730 E Mcdowell Rd Unit 133 Scottsdale |
State: | AZ US |
Postal Code: | 852573141 |
Phone Number: | 4804292825 |
Fax Number: | 4804236993 |
NPI Enumeration Date: | 06/16/2011 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |