Organization Active NPI

Ahc Home Health of Arizona, LLC

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1508051434
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AHC HOME HEALTH OF ARIZONA, LLC
Practice address
2045 S Vineyard Ste 127
Mesa, AZ 85210-6893
Phone
(480) 214-2448
Fax
(480) 530-4850
NPI assigned
Sep 13, 2007
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LHM MAN HHH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Forest Arnett
Title
President
Phone
(385) 622-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

2045 S Vineyard Ste 127
Mesa, AZ 85210-6893

Mailing address

2045 S Vineyard Ste 127
Mesa, AZ 85210-6893
Phone (480) 214-2448

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071214000684 AZ Part A Provider - Home Health Agency 0446340327 Practice locations: Mesa, AZ
O20170110002784 AZ Part A Provider - Hospice 0446340327 Practice locations: Mesa, AZ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1508051434. Details of each certification follow.

Home health agency certification: CCN 037260

Legal name
AHC HOME HEALTH OF ARIZONA, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 2008
Last certification
Jan 6, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
2045 S Vineyard
Ste 127
Mesa, AZ 85210-6893

Hospice certification: CCN 031682

Legal name
AHC HOME HEALTH OF ARIZONA, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 30, 2017
Last certification
Jan 6, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Aug 30, 2007 in ID
Enrollment address
2045 S Vineyard
Ste 127
Mesa, AZ 85210-6893

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ahc Home Health of Arizona LLCCCN 037260 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 16, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Ahc Home Health of Arizona, LLCCCN 031682 · All quality measures
Ownership
For-Profit
Certified
Dec 30, 2017
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2045 S Vineyard
Mesa, AZ 85210
Phone (480) 646-3035

2045 S Vineyard
Ste 127
Mesa, AZ 85210
Phone (480) 214-2448

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Karen Gail Miller Irrev TR Fbo Zane Miller Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
The Karen Gail Miller Irrevocable Trust for the Benefit of Stephen F. Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
The Karen Gail Miller Irrevocable Trust for the Benefit of Roger L. Mi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
Advanced Health Care - Larry H Miller Corporation Organization, Sandy, UT Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2020 100%
5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Forest Arnett Individual Corporate OfficerPresident Jan 1, 2024
The Gail Miller GST Trust Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 72.27%
The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi Organization, Sandy, UT 5% Or Greater Indirect Ownership Interest Jan 1, 2024 5.1%
LHM Man HHH LLC Organization, Farmington, UT Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Trey Clauser Individual W-2 Managing EmployeeAd; May 1, 2024
Steven Starks Individual Corporate OfficerParent Company Ceo Jan 1, 2021
Michael Patrick Newcomb Individual Contracted Managing EmployeeMD; Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1508051434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 127",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106893",
            "telephone_number": "480-214-2448",
            "fax_number": "480-832-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 127",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106893",
            "telephone_number": "480-214-2448",
            "fax_number": "480-530-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHC HOME HEALTH OF ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LHM MAN HHH LLC",
        "enumeration_date": "2007-09-13",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "FOREST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-622-4500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Sainte Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.