Provider Demographics
NPI:1366264681
Name:24 HOURS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:24 HOURS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLYDALE
Authorized Official - Middle Name:PRINCESS
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-357-0398
Mailing Address - Street 1:17212 N SCOTTSDALE RD APT 1042
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-9611
Mailing Address - Country:US
Mailing Address - Phone:310-357-0398
Mailing Address - Fax:888-527-3997
Practice Address - Street 1:17212 N SCOTTSDALE RD APT 1042
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-9611
Practice Address - Country:US
Practice Address - Phone:310-357-0398
Practice Address - Fax:888-527-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care