OrganizationActive
930, LLC
NPI 1720429582 · In Home Supportive Care Agency · Bullhead City, AZ
Provider details
- NPI number
- 1720429582
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ndeye Ceesay, Ceo(314) 406-6136
Specialties & taxonomies
Agencies
Practice location
3003 Highway 95 Ste 39
Bullhead City, AZ 86442-7896
Phone: (314) 406-6136
Approximate (ZIP-level) locationGet directions
Mailing address
12601 Woodmont Estates Ct
Des Peres, MO 63131-2151
Other names (DBA / former)
- Doing business as
- In-Home Caregiving, LLC
Registry dates
- Enumerated
- 2013-07-09
- Last updated
- 2013-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.