Watershed Financial, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

320295 Issued in AZ

Legal business name

WATERSHED FINANCIAL, LLC

Doing business as

Watershed Hospice Home Care

Practice address

7702 E Doubletree Ranch Rd Ste 300
Scottsdale, AZ 85258-2132

Phone

(602) 672-4818

Fax

(480) 522-1444

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Najib Hodge

Title

President, Ceo

Phone

(602) 672-4818

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Watershed Hospice Home Care Doing business as

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1346745072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "602-672-4818",
            "fax_number": "480-522-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "602-672-4818",
            "fax_number": "480-522-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED FINANCIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "NAJIB",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "602-672-4818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "320295",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AZ",
            "license": "320295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320295",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watershed Hospice Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watershed Hospice Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Watermark Home Care of Arizona, LLC
• Justin James Waters, DMD
• Kathy Lynn Waters, RDH
• Kimberely Ann Waters
• Lisa Waters
• Angela Watkins
• Lindsey Marie Watkins, MA-CCC SLP
• Jennifer Rose Watry, PA-C
• Christine M Watson, PT CHT
• Edie Watson, DNP, WHNP

• Home Health Agency in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.