Provider Demographics
NPI:1730892266
Name:TOP HEALTHCARE LLC
Entity type:Organization
Organization Name:TOP HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYODELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SODIMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-634-0627
Mailing Address - Street 1:448 W GLACIER BAY DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-7181
Mailing Address - Country:US
Mailing Address - Phone:480-634-0627
Mailing Address - Fax:
Practice Address - Street 1:448 W GLACIER BAY DR
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-7181
Practice Address - Country:US
Practice Address - Phone:480-634-0627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty