Havasu Regional Medical Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVASU REGIONAL MEDICAL CENTER LLC

Doing business as

Havasu Regional Medical Center

Practice address

1811 Mesquite Ave
Lake Havasu City, AZ 86403-5668

Phone

(928) 505-5793

Fax

(928) 505-5799

NPI assigned

Jun 21, 2013

Organization subpart

Yes

Parent organization

HAVASU REGIONAL MEDICAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Havasu Regional Medical Center Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Havasu Regional Medical Center LLC

Locations

Interoperability endpoints

• Direct secure messaging: havasu@yourcarecommunity.org

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie J Alvarez, NP

  • Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1619063740
  NPD (past)
• Randal L. Troyer, M.D.

  • Emergency Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1508868654
  NPD (past)
• Oluyemi Aina, M.D.

  • Psychiatry Physician
  • Sherman, TX
  • NPI 1083700041
  NPD (past)
• Glenda M Cain, RN,FNP

  • Nurse Practitioner
  • Grand Junction, CO
  • NPI 1740394808
  NPD (past)
• Janell Kjos, FNP, BC

  • Nurse Practitioner
  • Detroit Lakes, MN
  • NPI 1063414084
  NPD (past)

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1093154130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035668",
            "telephone_number": "928-505-5793",
            "fax_number": "928-505-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVASU REGIONAL MEDICAL CENTER, LLC",
        "enumeration_date": "2013-06-21",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "havasu@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "1811 Mesquite Ave",
            "city": "Lake Havasu City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864035668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Havasu Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Havasu Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Havasu Physical Therapy
• Havasu Primary Care, LTD.
• Havasu Rainbow Pediatrics
• Havasu Rainbow Pediatrics and Associates PLLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center, LLC
• Havasu Regional Medical Center, LLC

• 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 Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.