Organization Active NPI

Desert Trails Home Health, LLC

  • Home Health Agency
  • Bullhead City, AZ
National Provider Identifier
1578882049
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DESERT TRAILS HOME HEALTH, LLC
Practice address
2771 Silver Creek Rd
Suite 107
Bullhead City, AZ 86442-7959
Phone
(928) 444-1010
Fax
(928) 444-1011
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mrs. Kim Butler, PAC
Title
Owner/Administrator
Phone
(928) 444-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2771 Silver Creek Rd
Suite 107
Bullhead City, AZ 86442-7959

Mailing address

2771 Silver Creek Rd
Suite 107
Bullhead City, AZ 86442-7959
Phone (928) 444-1010

National Provider Directory

National Provider Directory

Locations

2771 Silver Creek Rd
#107
Bullhead City, AZ 86442
Phone (928) 444-1010

2771 Silver Creek Rd
Ste 107
Bullhead City, AZ 86442
Phone (928) 444-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1578882049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 SILVER CREEK RD",
            "address_2": "SUITE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427959",
            "telephone_number": "928-444-1010",
            "fax_number": "928-444-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 SILVER CREEK RD",
            "address_2": "SUITE 107",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427959",
            "telephone_number": "928-444-1010",
            "fax_number": "928-444-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT TRAILS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "928-444-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.