Active NPI
Central Arizona Home Health Care, Inc.
- Community Based Hospice Care Agency
- Prescott, AZ
National Provider Identifier
1174575781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HSPC3752
- Legal business name
- CENTRAL ARIZONA HOME HEALTH CARE, INC.
- Practice address
- 3107 Clearwater Dr Ste B
Prescott, AZ 86305-7167 - Phone
- (928) 460-5965
- Fax
- (928) 776-1763
- NPI assigned
- May 16, 2006
- 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
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 662-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HSPC3752 | AZ | Primary |
Addresses
Primary practice location
3107 Clearwater Dr Ste B
Prescott, AZ 86305-7167
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other practice location 1
1555 W Iron Springs Rd Ste 11
Prescott, AZ 86305-1395
Phone (928) 445-2522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082664 | Medicaid | AZ | |
| 596362 | Medicaid | AZ |
Other names 1
- Gentiva I
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673913600000",
"number": "1174575781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4060",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281174060",
"telephone_number": "704-664-2876",
"fax_number": "704-664-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 CLEARWATER DR STE B",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057167",
"telephone_number": "928-460-5965",
"fax_number": "928-776-1763"
}
],
"practiceLocations": [
{
"address_1": "1555 W Iron Springs Rd Ste 11",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863051395",
"country_code": "US",
"telephone_number": "928-445-2522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CENTRAL ARIZONA HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2023-01-17",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "COMBS",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "VP OF LICENSURE",
"authorized_official_telephone_number": "704-662-1761"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AZ",
"license": "HSPC3752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082664",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596362",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentiva I",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gentiva I",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
- Center for Orthopedic Research and Education Inc
- Center for Physical Excellence
- Centerwell Certified Healthcare Corp
- Central Arizona Eye Clinic P.C.
- Central Arizona Home Health Care, Inc.
- Joel Thomas Cepukenas, OTRL
- CFH of Arizona LLC
- Chain Reaction Physical Therapy
- Kelly Chambers, FNP
- Amy H Champ, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.