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SPECIALITY CUSTOM CARE, LLC
NPI 1063927044
Nurse Practitioner - Adult Health in Anthem, AZ

Active since December 12, 2017
2343 W SHACKLETON DR, ANTHEM, AZ 85086(216) 470-1069 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Speciality Custom Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALITY CUSTOM CARE, LLC (NPI 1063927044) is a healthcare organization registered as an adult health in Anthem, Arizona and active in the NPI registry since December 2017. The organization lists Linda Alberino-craig, Owner, as its authorized official.

NPPES Registry Identity

NPI1063927044
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSPECIALITY CUSTOM CARE, LLC
Location Address2343 W SHACKLETON DRAnthem, AZ 85086-2345
Mailing Address2343 W Shackleton DrAnthem, AZ 85086-2345 · (216) 470-1069
Phone(216) 470-1069
Organization SubpartNo
Authorized OfficialLinda Alberino-craigOwner · (216) 470-1069
Enumeration DateDecember 12, 2017
✔ NPI 1063927044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · AP-3689
2343 W SHACKLETON DR, Anthem, AZ 85086
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Speciality Custom Care, LLC's NPI number?

The NPI number for Speciality Custom Care, LLC is 1063927044. It was assigned to this organization in the NPPES registry on December 12, 2017.

Where is Speciality Custom Care, LLC located?

Speciality Custom Care, LLC is located at 2343 W Shackleton Dr, Anthem, AZ 85086. The listed phone number is (216) 470-1069.

What is Speciality Custom Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Speciality Custom Care, LLC was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.