Desert Hearts Nursing and Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DESERT HEARTS NURSING AND HOME CARE, LLC

Practice address

5225 S Highway 95 Ste 10
Fort Mohave, AZ 86426-9111

Phone

(928) 577-2688

Fax

(928) 577-2689

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer A Bradford

Title

Ceo/Administrator

Phone

(619) 804-6083

Specialties & licenses 3

Addresses

Other names 1

• Desert Hearts Nursing and Home Care, LLC Doing business as

Locations

Practitioners 1

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

• Melissa Jones Brewer Larson

  • Home Health Registered Nurse
  • Fort Mohave, AZ
  • NPI 1235897059
  NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1104597053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95 STE 10",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111",
            "telephone_number": "928-577-2688",
            "fax_number": "928-577-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S HIGHWAY 95 STE 10",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269111",
            "telephone_number": "928-577-2688",
            "fax_number": "928-577-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT HEARTS NURSING AND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "619-804-6083"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Hearts Nursing and Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado River Primary Care, Inc
• Vicky Renee Conder-Elliott, RD
• Copper State Medical Center
• Terry L Coyle, D.C., F.N.P.
• Corinne N Depriest, LMT
• Keegan Michael Drawe, APRN
• Scott Duong, M.D.
• Hailey H Eldridge
• Ryan Ellis, CRNA
• Em Medical Management of Fort Mohave, LLC

• All providers in Fort Mohave, AZ
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.