Active NPI
Shi Heart Home Health
- Home Health Agency
- Fort Defiance, AZ
National Provider Identifier
1104021302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769705 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI 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.