Navajoland Nursing Homes, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

035242 Issued in AZ

Legal business name

NAVAJOLAND NURSING HOMES, INC.

Practice address

Hwy 191Hospital Road
Chinle Nursing Home
Chinle, AZ 86503-0910

Phone

(928) 674-5216

Fax

(928) 674-5218

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Miss Ruth A. Tracy, RN, B.S.N.

Title

R.N. Director of Nursing

Phone

(928) 674-5216

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chinle Nursing Home Doing business as

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1386633600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865030910",
            "telephone_number": "928-674-5216",
            "fax_number": "928-674-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 191HOSPITAL ROAD",
            "address_2": "CHINLE NURSING HOME",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865030910",
            "telephone_number": "928-674-5216",
            "fax_number": "928-674-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJOLAND NURSING HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "R.N. DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "928-674-5216",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, B.S.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AZ",
            "license": "035242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035242",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinle Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Richard Bailey Miles, MD
• Joseph R Miller, D.P.M.
• Miyuki Miller, PHARMD
• Annie R. Moon, NP
• Catherine Jill Moses, M.D.
• Gretchen Kathleen Ngo, CNM
• Chau Thanh Minh Nguyen
• David Nkuidjeu
• Gavin Maurice O'Brien, PHARMD
• Kevin Christian O'Leary, PSY.D.

• Nursing Facility/Intermediate Care Facility in Chinle, AZ
• Providers in Chinle, AZ by specialty
• Nursing Facility/Intermediate Care Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.