Ballard Senior Home Care
Organization Active NPI In Home Supportive Care Agency · Snowflake, AZ
NPI 1124666318 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1124666318
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- BALLARD SENIOR HOME CARE
- Practice address
- 91 S Main St
Snowflake, AZ 85937-5285 - Phone
- (928) 243-3094
- Fax
- (928) 563-0065
- NPI assigned
- Dec 18, 2019
- Organization subpart
- No
Authorized official
- Name
- John Shumway Ballard
- Title
- Owner
- Phone
- (928) 243-3094
National Provider Directory
Locations
91 S Main St
Snowflake, AZ 85937
Phone (928) 243-3094
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
91 S Main St
Snowflake, AZ 85937-5285
Mailing address
PO Box 1347
Snowflake, AZ 85937-1347
Phone (928) 243-3094
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 444751 | Medicaid | AZ |
Other providers in Snowflake, AZ
- Aviva Home Health LLC
- Az Mobile Imaging LLC
- Az Neuropathy and Wound Solutions
- Dustin Kyle Baldwin
- Ballard Enterprise, L.L.C
- Judy W Ballard
- Melvin Kerry Ballard
- Monica Ballard
- Stephanie Batty
- Debra Ann Bennett
All providers in Snowflake, AZ · In Home Supportive Care Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.