Mohave Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI 353 Issued in AZ

Legal business name

MOHAVE HEALTH CARE

Doing business as

Silver Ridge Village

Practice address

2812 Silver Creek Rd
Bullhead City, AZ 86442-8309

Phone

(928) 763-1404

Fax

(928) 763-9795

NPI assigned

Jul 26, 2005

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Haines

Title

Corporate Financial Manager

Phone

(928) 718-4852

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silver Ridge Village Doing business as

Tax ID family

Legacy Rehab and Care Center2 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.

• Silver Ridge Management Inc

  dba The Legacy Rehab & Care Center

  • Skilled Nursing Facility
  • Bullhead City, AZ
  • NPI 1437270634
  NPD tax ID

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1306846936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428309",
            "telephone_number": "928-763-1404",
            "fax_number": "928-763-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428309",
            "telephone_number": "928-763-1404",
            "fax_number": "928-763-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CORPORATE FINANCIAL MANAGER",
        "authorized_official_telephone_number": "928-718-4852",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI 353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-0199",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Ridge Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MMG LLC (Mobile Medical Group)
• Mohave Arthritis Associates, Inc
• Mohave Chiropractic Care LLC
• Mohave Eye Center, LTD
• Mohave Gastroenterology, PC
• Mohave Healthcare, Inc. (River Valley Hospice)
• Mohave Intensivist Group, P.C
• Mohave Mental Health Clinic Inc
• Mohave Mental Health Clinic, Inc.
• Mohave Pulmonary and Sleep Disorder Clinic, Inc

• Skilled Nursing Facility in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.