Organization Active NPI

Huachuca Healthcare, LLC

  • Home Health Agency
  • Sierra Vista, AZ
National Provider Identifier
1417776501
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUACHUCA HEALTHCARE, LLC
Practice address
1048 E Fry Blvd Ste F
Sierra Vista, AZ 85635-2683
Phone
(520) 458-9450
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Amber L Tueller
Title
Treasurer
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1048 E Fry Blvd Ste F
Sierra Vista, AZ 85635-2683

Mailing address

1048 E Fry Blvd Ste F
Sierra Vista, AZ 85635-2683
Phone (520) 458-9450

National Provider Directory

National Provider Directory
Tax ID family
Huachuca Healthcare LLC2 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.

Locations

1048 E Fry Blvd
Ste F
Sierra Vista, AZ 85635
Phone (520) 458-9450

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1417776501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 E FRY BLVD STE F",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352683",
            "telephone_number": "520-458-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E FRY BLVD STE F",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352683",
            "telephone_number": "520-458-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUACHUCA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.