OrganizationActive
Gracious Hearts Home Care of Arizona LLC
NPI 1831033703 · Homemaker · Phoenix, AZ
Provider details
- NPI number
- 1831033703
- Entity type
- Organization
- Primary specialty
- HomemakerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Shameka Idusuyi, Administrator(928) 222-2250
Specialties & taxonomies
Nursing Service Related Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
4539 N 22nd St # 8259
Phoenix, AZ 85016-4639
Phone: (928) 222-2250
Fax: (713) 383-6438
Approximate (ZIP-level) locationGet directions
Mailing address
4539 N 22nd St # 8259
Phoenix, AZ 85016-4639
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.