OrganizationMobile Care Direct, LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211(480) 576-8283PECOS EnrollmentBased on the most recent information from CMS, provider Mobile Care Direct, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1164042404Provider TypeOrganizationFull NameMobile Care Direct, LlcSubpartNoEnumeration Date4/16/2020Last Updated4/16/2020Contact InformationPractice LocationPractice Address5060 N 19th Ave Ste 102, Phoenix, AZ 85015-3211Phone(480) 576-8283Fax(480) 434-6607Mailing LocationMailing Address530 E Mcdowell Rd Ste 107-437, Phoenix, AZ 85004-1549Phone(480) 576-8283Fax(480) 434-6607Authorized OfficialNameBagley, Adam (Manager)Phone(808) 312-8059Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2081H0002XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode251B00000XDescriptionCase ManagementAgenciesLicenseUnlisted Issuer