Heritage Home Healthcare of Arizona, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HERITAGE HOME HEALTHCARE OF ARIZONA, INC

Practice address

7310 N. 16TH St
Suite 228
Phoenix, AZ 85020

Phone

(602) 745-2900

Fax

(602) 745-2909

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Johansen

Title

President

Phone

(605) 362-3320

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1467405498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N. 16TH ST.",
            "address_2": "SUITE 228",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-745-2900",
            "fax_number": "602-745-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N. 16TH ST",
            "address_2": "SUITE 228",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-745-2900",
            "fax_number": "602-745-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTHCARE OF ARIZONA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-362-3320"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4166",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135248",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132889",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert R. Kahn, M.D., P.a.
• Lauren Bailey Herd
• Here4U Transport LLC
• Desiree Monique Heredia
• Heritage Behavioral Center, LLC (Heritage Living Center)
• Heritage House Behavioral Health Services
• Heritage Recovery Treatment Center, LLC
• Cienna Herlihy
• Erin Christine Herling, MS, CCC-SLP
• Bruce C Herman, M.D.

• Home Health Agency in Phoenix, AZ
• Providers in Phoenix, 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 Mar 22, 2017; 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.