Organization Active NPI

Bowie Health Group, Inc.

Doing business as MD Home Assist

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1669692224
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BOWIE HEALTH GROUP, INC.
Doing business as
MD Home Assist
Practice address
7310 N 16TH St
Suite 165
Phoenix, AZ 85020-5258
Phone
(602) 266-9971
NPI assigned
Apr 26, 2007
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mr. Dave Hildebrandt
Title
Ceo
Phone
(602) 266-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

7310 N 16TH St
Suite 165
Phoenix, AZ 85020-5258

Mailing address

7310 N 16TH St
Suite 165
Phoenix, AZ 85020-5258
Phone (602) 266-9971

Other identifiers 2

IdentifierTypeStateIssuer
875799MedicaidAZ
482753MedicaidAZ

Other names 1

  • MD Home Assist Doing business as

National Provider Directory

National Provider Directory

Locations

7310 N 16th St
Ste 165
Phoenix, AZ 85020
Phone (602) 266-9971

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1669692224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST",
            "address_2": "SUITE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205258",
            "telephone_number": "602-266-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 N 16TH ST",
            "address_2": "SUITE 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205258",
            "telephone_number": "602-266-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWIE HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-266-9971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875799",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482753",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Home Assist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.