Heritage Home Health Care of Arizonia

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA4001 Issued in AZ

Legal business name

HERITAGE HOME HEALTH CARE OF ARIZONIA

Practice address

317 E Cottonwood LN
Suite B
Casa Grande, AZ 85222-2517

Phone

(520) 421-0097

Fax

(520) 421-0136

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Steve Bourne

Title

Cfo

Phone

(505) 796-3236

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831207497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 LOUISIANA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871132105",
            "telephone_number": "505-796-3236",
            "fax_number": "505-796-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E COTTONWOOD LN",
            "address_2": "SUITE B",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222517",
            "telephone_number": "520-421-0097",
            "fax_number": "520-421-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH CARE OF ARIZONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-796-3236"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA4001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132194",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Hemm, PHYSICIAN ASSISTANT
• Minell Henderson
• Stacy Henderson
• Peter Paul Moheb Hennis, AGNP
• Henry L Givre MD FCCP PC (Henry L Givre MD)
• Lydia Herman, PT, DPT
• Kylie Janae Hernandez-Rendon
• Destin Joseph Hernandez
• Jesus Fernando Hernandez, MD
• Louis V Hernandez Jr.

• Home Health Agency in Casa Grande, AZ
• Providers in Casa Grande, 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 Aug 22, 2020; 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.