Provider Demographics
NPI:1750170296
Name:ARIZONA HBOT, A DIVISION OF SHEAHAN AGENCY
Entity type:Organization
Organization Name:ARIZONA HBOT, A DIVISION OF SHEAHAN AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-540-2282
Mailing Address - Street 1:8512 N 186TH LN
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-7938
Mailing Address - Country:US
Mailing Address - Phone:602-540-2282
Mailing Address - Fax:
Practice Address - Street 1:8512 N 186TH LN
Practice Address - Street 2:
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-7938
Practice Address - Country:US
Practice Address - Phone:602-540-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHEAHAN AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies