Western Arizona Regional Home Health and Hospice, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA3820 Issued in AZ

Legal business name

WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE, LLC

Doing business as

Mohave Home Health

Practice address

2020 Silver Creek Rd
BLDG a - Ste 114
Bullhead City, AZ 86442-8476

Phone

(928) 763-3184

Fax

(928) 763-4122

NPI assigned

Sep 14, 2005

Last updated

Jan 7, 2017By 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

Patrick Todd Lyles

Title

Sr Vice President

Phone

(502) 891-1044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mohave Home Health Doing business as

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483747200000",
    "number": "1710972856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-891-1187",
            "fax_number": "502-891-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER CREEK RD",
            "address_2": "BLDG A - STE 114",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428476",
            "telephone_number": "928-763-3184",
            "fax_number": "928-763-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ARIZONA REGIONAL HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2017-01-07",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "502-891-1044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENCE NO.",
            "identifier": "HHA3820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohave Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Weatherby
• Nathan Chad Weaver, D.O.
• Westcare Arizona I, Inc.
• Westcare Arizona I, Inc.
• Westcare Arizona I, Inc. (Sage House)
• Western Medical Eye Center
• Western Medical Eye Center, LLC
• Western Mountain Medical Center, PC
• Stephen Vinh Whipp, MD
• Mark William White, DDS

• Home Health Agency in Bullhead City, AZ
• Providers in Bullhead City, 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 Jan 7, 2017; 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.