Active NPI
Mountain Valley Regional Rehabilitation Hospital Inc
Doing business as Mountain Valley Home for Health
- Home Health Agency
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC
- Doing business as
- Mountain Valley Home for Health
- Practice address
- 3700 N Windsong Dr
Prescott Valley, AZ 86314-1253 - Phone
- (928) 759-8800
- NPI assigned
- Jun 16, 2015
- Last updated
- Jun 29, 2023
- 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
- Denise Kann
- Title
- Vice President and Secretary
- Phone
- (972) 216-2299
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3700 N Windsong Dr
Prescott Valley, AZ 86314-1253
Mailing address
1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299
Other names 1
- Mountain Valley Home for Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150831001929 | AZ | Part A Provider - Home Health Agency | 8022021260 | Practice locations: Prescott Valley, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174904130. Details of each certification follow.
Home health agency certification: CCN 037456
- Legal name
- MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC
- Doing business as
- MOUNTAIN VALLEY HOME FOR HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 27, 2016
- Last certification
- May 17, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 7, 2005 in DE
- Enrollment address
- 3700 N Windsong Dr
Ste B
Prescott Valley, AZ 86314-1253
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rehabilitation Hospital
- Prescott Valley, AZ
- NPI 1245273853
8022021260
-
dba MVRRH Physician Group
- Multi-Specialty Clinic/Center
- Prescott Valley, AZ
- NPI 1780179044
8022021260
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mountain Valley Home for Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 27, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2130100 | Mountain Valley Home for Health | Certificate of waiver | May 1, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Mountain Valley Regional Rehabilitation Hospital Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Hospital
- Prescott Valley, AZ
- NPI 1245273853
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jacob S Socha | Corporate Officer | Jun 1, 2023 | |
| One Equity Partners VII-B LP | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 12.4% |
| Monica L Durocher | W-2 Managing Employee | Feb 20, 2022 | |
| Ernest Health, Inc | 5% Or Greater Direct Ownership Interest | Jun 1, 2015 | 100% |
| Other | Jun 1, 2015 | ||
| Epoch Parent Inc | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 100% |
| One Equity Partners VII LP | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 58% |
| Epoch Parent Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 100% |
| Ernest Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jun 1, 2015 | 100% |
| Epoch Midco, Inc | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 100% |
| Capital One NA | 5% Or Greater Security Interest | Oct 4, 2018 | 100% |
| Eudora Cannon | Corporate Officer | Jun 1, 2023 | |
| Other | Jun 1, 2023 | ||
| One Equity Partners VII-a LP | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 29.7% |
| Caleb Reed | Corporate Officer | Jun 1, 2023 | |
| Denise a Kann | Corporate Officer | Jun 1, 2023 | |
| MPT of Prescott Valley LLC | 5% Or Greater Security Interest | Dec 30, 2020 | 100% |
| Epoch Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 100% |
Facilities with the same owner 40
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rehabilitation Hospital
- Prescott Valley, AZ
- NPI 1245273853
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Rehabilitation Hospital
- Flagstaff, AZ
- NPI 1316463276
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Long Term Care Hospital
- Billings, MT
- NPI 1356536312
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
dba Big Sky Rehabilitation Hospital
- Rehabilitation Hospital
- Billings, MT
- NPI 1639991540
Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
dba Northern Colorado Long Term Acute Hospital
- Long Term Care Hospital
- Johnstown, CO
- NPI 1598830267
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Long Term Care Hospital
- Las Cruces, NM
- NPI 1083787345
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
dba Bakersfield Rehabilitation Hospital
- Rehabilitation Hospital
- Bakersfield, CA
- NPI 1033780556
Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Rehabilitation Hospital
- Bloomington, IN
- NPI 1770159022
Epoch Acquisition Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Rehabilitation Hospital
- Corpus Christi, TX
- NPI 1821439183
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
dba TrustPoint Rehabilitation Hospital of Lubbock
- Rehabilitation Hospital
- Lubbock, TX
- NPI 1952784985
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
dba Vibra Rehabilitation Hospital of Denver
- Rehabilitation Hospital
- Thornton, CO
- NPI 1407375249
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
-
- Rehabilitation Hospital
- Casper, WY
- NPI 1326233586
Epoch Acquisition Inc, Epoch Midco, Inc, Epoch Parent Holdings LLC, Epoch Parent Inc, Ernest Health Holdings LLC, Ernest Health, Inc, One Equity Partners VII LP, One Equity Partners VII-a LP, One Equity Partners VII-B LP
Practitioners & affiliated clinicians
Affiliated clinicians 38
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Prescott Valley, AZ
- NPI 1013522267
Home health agency
-
- Orthopaedic Surgery Physician
- Prescott, AZ
- NPI 1144420472
Home health agency
-
- Internal Medicine Physician
- Chino Valley, AZ
- NPI 1821250382
Home health agency
-
- Orthopaedic Surgery Physician
- Prescott Valley, AZ
- NPI 1508885047
Home health agency
-
- Family Nurse Practitioner
- Prescott Valley, AZ
- NPI 1477187557
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1174904130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N GALLOWAY AVE STE 102",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492434",
"telephone_number": "972-216-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141253",
"telephone_number": "928-759-8800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VALLEY REGIONAL REHABILITATION HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-16",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "KANN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "972-216-2299"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Valley Home for Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.