Needles Medical Management Center Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEEDLES MEDICAL MANAGEMENT CENTER INC

Practice address

1600 Bailey Ave
Suite 1
Needles, CA 92363-3105

Phone

(760) 326-2217

Fax

(760) 326-2226

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Raffi Khararjian

Title

Cheif Executive Officer

Phone

(760) 326-2217

Specialties & licenses 1

Addresses

Other names 1

• Tri-State Home Health Services Doing business as

Locations

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1578885372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BAILEY AVE",
            "address_2": "SUITE 1",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633105",
            "telephone_number": "760-326-2217",
            "fax_number": "760-326-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BAILEY AVE",
            "address_2": "SUITE 1",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633105",
            "telephone_number": "760-326-2217",
            "fax_number": "760-326-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDLES MEDICAL MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "KHARARJIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "760-326-2217"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Munson
• Heather Lyn Nash
• Paul Nave, RPH
• Needles Hospice, Inc.
• Needles Hospital, Inc
• Pacific Clinics
• Mistydae Paget
• Juan Carlos Pequeno, MD
• Czarina Lim Perello, MSN-FNP
• Jason Dean Phillips, SUDCC-II 6264

• All providers in Needles, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.