Organization Active NPI

Hozho Nahasdlii Health Care at Home

  • Home Health Agency
  • Fort Defiance, AZ
National Provider Identifier
1245491653
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
328044 Issued in AZ
Legal business name
HOZHO NAHASDLII HEALTH CARE AT HOME
Practice address
3629 Mile Marker 34 Navajo Route 12
Fort Defiance, AZ 86504-0793
Phone
(928) 729-2085
Fax
(928) 729-2050
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Calvina Ann Begay
Title
Onwer
Phone
(928) 729-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 328044 AZ Primary

Addresses

Primary practice location

3629 Mile Marker 34 Navajo Route 12
Fort Defiance, AZ 86504-0793

Mailing address

PO Box 793
Navajo Route12 Mile Marker 34
Fort Defiance, AZ 86504-0793
Phone (928) 729-2085

Other identifiers 1

IdentifierTypeStateIssuer
328044MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1245491653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "address_2": "NAVAJO ROUTE12 MILE MARKER 34",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040793",
            "telephone_number": "928-729-2085",
            "fax_number": "928-729-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 MILE MARKER 34 NAVAJO ROUTE 12",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040793",
            "telephone_number": "928-729-2085",
            "fax_number": "928-729-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOZHO NAHASDLII HEALTH CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BEGAY",
        "authorized_official_first_name": "CALVINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "928-729-2085"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "328044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328044",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.