Organization Active NPI

Shi Heart Home Health

  • Home Health Agency
  • Fort Defiance, AZ
National Provider Identifier
1104021302
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHI HEART HOME HEALTH
Practice address
North Route 7, Milepost 1.5
Old Crystal Road
Fort Defiance, AZ 86504
Phone
(928) 729-5319
Fax
(928) 729-5526
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Michael J Hughes
Title
Owner
Phone
(928) 729-5319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

North Route 7, Milepost 1.5
Old Crystal Road
Fort Defiance, AZ 86504

Mailing address

PO Box 2180
Fort Defiance, AZ 86504-2180
Phone (928) 729-5319

Other identifiers 1

IdentifierTypeStateIssuer
769705MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1104021302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2180",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865042180",
            "telephone_number": "928-729-5319",
            "fax_number": "928-729-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH ROUTE 7, MILEPOST 1.5",
            "address_2": "OLD CRYSTAL ROAD",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-5319",
            "fax_number": "928-729-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI HEART HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-729-5319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769705",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.