Home Health Flagstaff LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME HEALTH FLAGSTAFF LLC

Practice address

823 N San Francisco St Ste 2-G1
Flagstaff, AZ 86001-3294

Phone

(928) 414-9070

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Kristi Jackson

Title

Director of Clinical Services

Phone

(941) 257-4285

Specialties & licenses 1

Addresses

Other names 1

• Haven Home Health Care Doing business as

Locations

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1689147258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722",
            "telephone_number": "734-560-8953",
            "fax_number": "954-337-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N SAN FRANCISCO ST STE 2-G1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013294",
            "telephone_number": "928-414-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH FLAGSTAFF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "941-257-4285"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holon Health Great Lakes, P.C.
• Jessica Holst
• Holt Medical PLLC
• Diana E Holt, PNP
• Richard Frank Holt, D.O.
• Homeease Medical Equipment LLC
• Vincent J Honan, MD
• Emily Rominger Hong, DO, MPH
• Todd Hooe, PH.D., BCBA, LBA
• William Jonathan Hooker, D.D.S.

• Home Health Agency in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.