Ageless Nutrition Bar Holdings, Inc
Clinic/Center (Primary Care)

Address: 4802 E Ray Rd # 9, Phoenix, AZ 85044-6405
Phone: 9017573643

Ageless Nutrition Bar Holdings, Inc (NPI# 1932704830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1932704830
Entity Type Organization
Organization Name AGELESS NUTRITION BAR HOLDINGS, INC
Practice Address 4802 E Ray Rd # 9
Phoenix
AZ 85044-6405
Practice Telephone 9017573643
Mailing Address 4802 E Ray Rd # 9
Phoenix
AZ 85044-6405
Authorized Official Name Melissa Chambers (VP OF BUSINESS OPERATIONS)
Authorized Official Telephone 9017573643
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-01
Last Update Date 2020-12-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QP2300X Clinic/Center · Primary Care Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Ageless Men's Health Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4802 E RAY RD # 9
City PHOENIX
State AZ
Zip Code 85044-6405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023637345 Jamie Roshun Dawson Contractor 13229 S 48th St Apt 3051, Phoenix, AZ 85044 2020-04-16
1548807514 The Horizon Chiropractic Center Clinic/Center 4425 East Agave Road Suite 104, Phoenix, AZ 85044 2019-12-09
1134777634 Elite Therapy of Az Occupational Therapist 15245 S 48th Street, Phoenix, AZ 85044 2019-08-28
1487217584 Vitae Felix Psychologist 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 2019-04-16
1578082392 Karena Janiece Herron Nurse Practitioner 13625 S 48th St Apt 2100, Phoenix, AZ 85044 2017-09-13
1053847319 Amanda Girardi Dentist 4726 E Verbena Dr, Phoenix, AZ 85044 2017-05-05
1518402593 Janet Swift Counselor 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 2016-12-29
1588074876 Suzanne Morris Nurse Practitioner 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 2014-05-07
1891117974 Dr. Cameron Khavari Pllc Chiropractor 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 2014-01-09
1316213416 Shyam Sundar Tangri Internal Medicine 13623 S. 45th St, Phoenix, AZ 85044 2012-03-22
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Competitor

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City PHOENIX
Zip Code 85044

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.