Heritage Home Health Care of Arizonia

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA4002 Issued in AZ

Legal business name

HERITAGE HOME HEALTH CARE OF ARIZONIA

Practice address

2250 US Highway 60
Suite J
Miami, AZ 85539-7715

Phone

(928) 402-0060

Fax

(928) 402-0080

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Steve Bourne

Title

Cfo

Phone

(505) 796-3236

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619085289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 LOUISIANA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132105",
            "telephone_number": "505-796-3200",
            "fax_number": "505-796-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 US HIGHWAY 60",
            "address_2": "SUITE J",
            "city": "MIAMI",
            "state": "AZ",
            "postal_code": "855397715",
            "telephone_number": "928-402-0060",
            "fax_number": "928-402-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH CARE OF ARIZONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-796-3236"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Gila Miami Area Unified SCH Dist No 40
• Chris Ferrier, PHARM.D.
• Lorna M. Fitzgerald
• Holly Frandsen, RPH
• Cassie Nicole Fuller, FNP-C
• Joe Arthur Hooker Jr., PHARMD
• Amie Rochelle Jones, LPC
• Thu Ha Nguyen, PHARM.D
• Logan Peery
• Tyler Peery, FNP

• All providers in Miami, AZ
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.