OrganizationActive
Advance Care & Home Support LLC
NPI 1598461287 · Substance Abuse Rehabilitation Facility · Phoenix, AZ
Provider details
- NPI number
- 1598461287
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ferdinand Capo-Chichi, Ceo(832) 709-7530
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
4638 N 111th Ln
Phoenix, AZ 85037-8333
Phone: (480) 395-0233
Approximate (ZIP-level) locationGet directions
Mailing address
4638 N 111th Ln
Phoenix, AZ 85037-8333
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-02-03
- Certified
- 2023-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.