NPIMap

Organization Active NPI

Mohave Healthcare, Inc.

Doing business as River Valley Home Health

  • Home Health Agency
  • Big River, CA
National Provider Identifier
1457735748
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550001658 HHA Issued in CA
Legal business name
MOHAVE HEALTHCARE, INC.
Doing business as
River Valley Home Health
Practice address
149350 Ukiah Trail
Suite 102
Big River, CA 92242-2071
Phone
(760) 615-7451
Fax
(949) 487-9400
NPI assigned
Jul 16, 2015
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550001658 HHA CA Primary

Addresses

Primary practice location

149350 Ukiah Trail
Suite 102
Big River, CA 92242-2071

Mailing address

PO Box 3200
Big River, CA 92242-3200
Phone (760) 615-7451

Other names 1

  • RIVER VALLEY HOME HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150831002788 CA Part A Provider - Home Health Agency 5799091104 Practice locations: Big River, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457735748. Details of each certification follow.

Home health agency certification: CCN 059373

Legal name
MOHAVE HEALTHCARE INC
Doing business as
RIVER VALLEY HOME HEATH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2012
Last certification
Jan 26, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 23, 2015 in NV
Enrollment address
149350 Ukiah Trail
Suite 102
Big River, CA 92242-2071
HHA Branch

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
River Valley Home HealthCCN 059373 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 28, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy

National Provider Directory

National Provider Directory
Tax ID family
Mohave Healthcare Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Briggs Individual W-2 Managing EmployeeAdministrator Designee May 14, 2026
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 15, 2015 100%
Sandra Copsey Individual W-2 Managing EmployeeAd;Executive Director/Administrator Mar 1, 2023
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jun 9, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Jodi Lee Individual W-2 Managing EmployeeDPCS Designee May 14, 2026
Christine Perrotto Individual W-2 Managing EmployeeDirector of Patient Care Services May 14, 2026
John J Gochnour Individual Corporate OfficerPresident Jun 12, 2024
Amber Tueller Individual Corporate OfficerSecretary Jun 12, 2024

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1457735748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3200",
            "city": "BIG RIVER",
            "state": "CA",
            "postal_code": "922423200",
            "telephone_number": "760-615-7451",
            "fax_number": "520-333-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149350 UKIAH TRAIL",
            "address_2": "SUITE 102",
            "city": "BIG RIVER",
            "state": "CA",
            "postal_code": "922422071",
            "telephone_number": "760-615-7451",
            "fax_number": "949-487-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAVE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550001658 HHA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER VALLEY HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIVER VALLEY HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Big River, CA

Sources for this page

Verify at the official NPI Registry.