Founders Healthcare, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

361 Issued in AZ

Legal business name

FOUNDERS HEALTHCARE, LLC

Practice address

1512 Jill Way
Ste 5 & 6
Fort Mohave, AZ 86426

Phone

(928) 704-4654

Fax

(928) 704-4651

NPI assigned

Jun 9, 2006

Last updated

Aug 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Keys

Title

Ceo

Phone

(480) 446-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1669413050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852740700",
            "telephone_number": "480-882-0535",
            "fax_number": "480-993-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 JILL WAY",
            "address_2": "STE 5 & 6",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "86426",
            "telephone_number": "928-704-4654",
            "fax_number": "928-704-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDERS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-446-9010"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403832",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan John Ethridge, PA-C
• Fort Mohave Dental Care PLLC
• Fort Mohave Emergency Medical Associates Inc
• Fort Mohave Physical Therapy Inc
• Fort Mojave Mesa Fire Department
• Lisa Franklin
• Stephanie Marie Garney
• Jim Gilbert
• Rebecca Lynn Gleason
• Bernard T. Gosma, RPH.

• Oxygen Equipment & Supplies (DME) in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.