Anasazi Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI1209 Issued in AZ

Legal business name

ANASAZI HEALTH CARE, INC.

Doing business as

Lake Hills Inn

Practice address

2781 Osborn Dr
Lake Havasu City, AZ 86406-8629

Phone

(928) 505-5552

Fax

(928) 505-2660

NPI assigned

Jul 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Paula Mitchell

Title

Administrator

Phone

(928) 505-5552

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Hills Inn Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1063411981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 OSBORN DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068629",
            "telephone_number": "928-505-5552",
            "fax_number": "928-505-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 OSBORN DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068629",
            "telephone_number": "928-505-5552",
            "fax_number": "928-505-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-505-5552",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Hills Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alternate Solutions Care Giver Specialist, LLC
• Andres Alvarado, M.D.
• Saul Alvarez, RRT RPSGT
• Stephanie J Alvarez, NP
• Heath R Alvidrez, D.C.
• Ramesh Anche
• Belinda Gail Anders, MA
• Anderson Orthopedics & Sports Medicine
• Nancy Anderson, P.T.
• Steven Gregory Anderson, DO

• Skilled Nursing Facility in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.