Mohave Healthcare, Inc.
Organization Active NPI Home Health Agency · Big River, CA
NPI 1457735748 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1457735748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 550001658 HHA (CA)
- Legal business name
- MOHAVE HEALTHCARE, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Facilities with the same owner 141
Affiliated clinicians 9
-
Mark A Folmsbee, D.O.
-
Silvia Herrera, FNP
-
Kenneth Grant Lucero, M.D.
-
Erik Allen Schnaser, M.D.
-
Andrea Wade, FNP
-
William Brian Womack, D.O.
Medicare Care Compare: Home health agency
- Listed as
- River Valley Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Mar 28, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
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
- Corporation · Proprietary
- Incorporated
- Jun 23, 2015 in NV
- Enrollment address
- 149350 Ukiah Trail
Suite 102
Big River, CA 92242-2071
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Briggs |
W-2 Managing Employee |
May 14, 2026 | |
| Cornerstone Healthcare Inc |
5% Or Greater Direct Ownership Interest | Aug 15, 2015 | 100% |
| Sandra Copsey |
W-2 Managing Employee |
Mar 1, 2023 | |
| Brent Mills |
Corporate Officer |
Mar 26, 2026 | |
| Brent Guerisoli |
Corporate Director |
Jun 9, 2022 | |
| The Pennant Group Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 100% |
| Jodi Lee |
W-2 Managing Employee |
May 14, 2026 | |
| Christine Perrotto |
W-2 Managing Employee |
May 14, 2026 | |
| John J Gochnour |
Corporate Officer |
Jun 12, 2024 | |
| Amber Tueller |
Corporate Officer |
Jun 12, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150831002788 | CA | Part a Provider - Home Health Agency | 5799091104 | Practice locations: Big River, CA |
National Provider Directory
- Tax ID family
- Mohave Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 550001658 HHA | CA | Yes |
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
- RIVER VALLEY HOME HEALTH
Other providers in Big River, CA
All providers in Big River, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.