NPIMap

Organization Active NPI

Honorhealth

  • General Acute Care Hospital
  • Mesa, AZ
National Provider Identifier
1861219404
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HONORHEALTH
Practice address
5750 E Baseline Rd
Mesa, AZ 85206-4806
Phone
(602) 833-6900
NPI assigned
Sep 24, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Jenifer Hendrix
Title
Senior Network Director
Phone
(623) 683-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

5750 E Baseline Rd
Mesa, AZ 85206-4806

Mailing address

2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112003016 AZ Part A Provider - Hospital 1456258607 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Florence, AZ; Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861219404. Details of each certification follow.

Hospital certification: CCN 030121

Legal name
HONORHEALTH
Doing business as
HONORHEALTH FOUR PEAKS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 3, 2007
Last certification
May 15, 2018
Beds
178
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 3, 2024 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 1962 in AZ
Enrollment address
1301 S Crismon Rd
Mesa, AZ 85209-3767
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Honorhealth Four Peaks Medical CenterCCN 030121 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Scottsdale Healthcare S25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles D Mitchell Individual Corporate Director Oct 3, 2024
Honorhealth Organization, Scottsdale, AZ Non-profit Operational/Managerial Control Oct 3, 2024
Fred Hessler Individual Corporate Director Oct 3, 2024
Lisa Elizabeth Montman Individual Corporate OfficerEvp-Chief Financial Officer Oct 3, 2024
W-2 Managing Employee Oct 3, 2024
Operational/Managerial ControlEvp- Chief Financial Officer Oct 3, 2024
Andrew a Kassir Individual Corporate Director Oct 3, 2024
Julie M Arvo Mackenzie Individual Corporate Director Oct 3, 2024
Kathleen Player Individual Corporate Director Jan 1, 2025
Drew M Brown Individual Corporate Director Oct 3, 2024
Jesika Bailie Individual W-2 Managing EmployeeDir-Cash Applications/Govt Rptng Jan 1, 2022
Operational/Managerial ControlDir-Cash Applications/Govt Rptng Jan 1, 2022
Alpa P Shah Individual Corporate Director Oct 3, 2024
Peter Hathaway Individual Corporate Director Oct 3, 2024
Kathryn Jo Lincoln Individual Corporate Director Oct 3, 2024
Todd Laporte Individual Corporate OfficerChief Executive Officer Oct 3, 2024
Corporate DirectorChief Executive Officer Oct 3, 2024
W-2 Managing EmployeeChief Executive Officer Oct 3, 2024
Operational/Managerial ControlChief Executive Officer Oct 3, 2024
Denise Montee Individual W-2 Managing EmployeeVP- Revenue Cycle Oct 3, 2024
Operational/Managerial ControlVP- Revenue Cycle Oct 3, 2024
Steven Wheeler Individual Corporate Director Oct 3, 2024
Frank Pugh Individual Corporate Director Oct 3, 2024
Robert Michael Welborn Individual Corporate Director Jan 1, 2006
Heidi Jannenga Individual Corporate Director Oct 3, 2024

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Honorhealth

    dba HonorHealth Tina's Treasures

    • Prosthetic/Orthotic Supplier
    • Scottsdale, AZ
    • NPI 1093800591

    Operational/Managerial Control

    CMS ownership
  • Honorhealth
    • General Acute Care Hospital
    • Tempe, AZ
    • NPI 1114744752

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Home Infusion Therapy Services

    • Community/Retail Pharmacy
    • Phoenix, AZ
    • NPI 1144762402

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Sonoran Crossing Medical Center

    • General Acute Care Hospital
    • Phoenix, AZ
    • NPI 1265063010

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Tina's Treasures

    • Prosthetic/Orthotic Supplier
    • Peoria, AZ
    • NPI 1386456762

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Scottsdale Shea Medical Center

    • General Acute Care Hospital
    • Scottsdale, AZ
    • NPI 1386608859

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Scottsdale Thompson Peak Medical Center

    • General Acute Care Hospital
    • Scottsdale, AZ
    • NPI 1417152745

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Four Peaks Medical Center

    • General Acute Care Hospital
    • Mesa, AZ
    • NPI 1427875061

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Deer Valley Medical Center

    • General Acute Care Hospital
    • Phoenix, AZ
    • NPI 1528169125

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Inpatient Rehab

    • Rehabilitation Hospital Unit
    • Scottsdale, AZ
    • NPI 1720042799

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth John C. Lincoln Medical Center

    • General Acute Care Hospital
    • Phoenix, AZ
    • NPI 1770690695

    Operational/Managerial Control

    CMS ownership
  • Honorhealth

    dba HonorHealth Contract Providers

    • Surgery Physician
    • Scottsdale, AZ
    • NPI 1801092564

    Operational/Managerial Control

    CMS ownership
View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 236

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 236

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1861219404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 E BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064806",
            "telephone_number": "602-833-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONORHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "SENIOR NETWORK DIRECTOR",
        "authorized_official_telephone_number": "623-683-4503"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.