NPIMap

Organization Active NPI

Home Health Scottsdale, LLC

  • Home Health Agency
  • Scottsdale, AZ
National Provider Identifier
1154898542
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH SCOTTSDALE, LLC
Practice address
15551 N Greenway Hayden Loop Ste 155a
Scottsdale, AZ 85260-1210
Phone
(480) 948-9900
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Katrina Lanier
Title
Secretary
Phone
(855) 485-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15551 N Greenway Hayden Loop Ste 155a
Scottsdale, AZ 85260-1210

Mailing address

6760 Old Jacksonville Hwy Ste 101
Tyler, TX 75703-0566
Phone (855) 485-8273

Other practice location 1

3623 Crossings Dr Ste 124
Prescott, AZ 86305-7101
Phone (480) 948-9900

Other names 2

  • Choice Health at Home Doing business as
  • Haven Home Health Care Doing business as

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 78

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 78

Care Compare: Home health agency

Medicare Care Compare
Listed as
Haven Home Health CareCCN 037492
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Aug 21, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2163740Home Health Scottsdale, LLC15551 N Greenway Hayden Loop #155a, Scottsdale, AZ 85260Certificate of waiverFeb 12, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190611003502 AZ Part A Provider - Home Health Agency 8325371073 Practice locations: Prescott, AZ; Scottsdale, AZ

Home health agency certification: CCN 037492

Legal name
HOME HEALTH SCOTTSDALE LLC
Doing business as
HAVEN HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 2019
Last certification
Aug 21, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
15551 N Greenway Hayden Loop
Ste 155a
Scottsdale, AZ 85260-1210

All disclosed owners & managing parties 7

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristi L Jackson Individual W-2 Managing EmployeeAd; Jun 1, 2025 50%
Southwest Health Holdings LLC Organization, Davie, FL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Jamin R Ruark Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 22.75%
The Charis Foundation Inc Organization, Plymouth, MI Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2024
Matthew R Saagman Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 22.75%
Charis Healthcare Holdings, LLC Organization, Boca Raton, FL LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Kevin R Ruark Individual Corporate DirectorBoard Member Jul 1, 2018 100%

National Provider Directory

National Provider Directory

Locations

3623 Crossings Dr
Ste 124
Prescott, AZ 86305
Phone (480) 948-9900

3623 Crossings Dr
Ste 110
Prescott, AZ 86305
Phone (480) 948-9900

1607 N Wilmot Rd
Ste 104
Tucson, AZ 85712

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1154898542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 OLD JACKSONVILLE HWY STE 101",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030566",
            "telephone_number": "855-485-8273",
            "fax_number": "903-200-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15551 N GREENWAY HAYDEN LOOP STE 155A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601210",
            "telephone_number": "480-948-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3623 Crossings Dr Ste 124",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057101",
            "country_code": "US",
            "telephone_number": "480-948-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME HEALTH SCOTTSDALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "855-485-8273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Health at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.