Active NPI
Bowie Health Group, Inc.
Doing business as MD Home Assist
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1669692224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 875799 | Medicaid | AZ | |
| 482753 | Medicaid | AZ |
Other names 1
- MD Home Assist
National Provider Directory
National Provider DirectoryLocations
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.