Active NPI
High Desert Home Health Care
- Home Health Agency
- Red Valley, AZ
National Provider Identifier
1871813634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 516537
- Legal business name
- HIGH DESERT HOME HEALTH CARE
- Practice address
- 1/2 Mile Southwest From Cove Chapter House
Red Valley, AZ 86544 - Phone
- (505) 608-5805
- NPI assigned
- Jun 3, 2010
- Last updated
- Aug 10, 2010
- 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
- Ranissa R. Lee
- Title
- Owner
- Phone
- (505) 608-5805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 516537 | AZ | Primary |
Addresses
Primary practice location
1/2 Mile Southwest From Cove Chapter House
Red Valley, AZ 86544
Mailing address
PO Box 454
Red Valley, AZ 86544-0454
Phone (505) 608-5805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516537 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Non-emergency Medical Transport (VAN)
- Red Valley, AZ
- NPI 1225371958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1871813634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 454",
"city": "RED VALLEY",
"state": "AZ",
"postal_code": "865440454",
"telephone_number": "505-608-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1/2 MILE SOUTHWEST FROM COVE CHAPTER HOUSE",
"city": "RED VALLEY",
"state": "AZ",
"postal_code": "86544",
"telephone_number": "505-608-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH DESERT HOME HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-03",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "RANISSA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-608-5805"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "516537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "516537",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.