Mohave Healthcare, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOHAVE HEALTHCARE, INC.

Practice address

301 E Bethany Home Rd Ste C292
Phoenix, AZ 85012-1271

Phone

(623) 322-8686

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Amber L Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Other names 1

• Emblem Hospice West Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Emblem Hospice West2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Indigo Healthcare LLC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1891311171
  NPD tax ID

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Whitetank Mountain Healthcare LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1912665571

  Sold to, 2023-01-01

  CMS change of ownership

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1164054136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C292",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121271",
            "telephone_number": "623-322-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C292",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121271",
            "telephone_number": "623-322-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emblem Hospice West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Lynn Mohammed, LMSW
• Yasir Mohammed, MD
• Rupal Mohan, MD
• Sugandha Mohan
• Mohans PC
• Fayyaz Mohebatiamirabad
• Huma Moheyuddin, M.D.
• Zarah Anne Mohindra, CNM, WHNP-BC
• Maleeha Mohiuddin, M.D.
• Meraj M Mohiuddin, M.D.

• Community Based Hospice Care Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.