Organization Active NPI

High Desert Home Health Care

  • Home Health Agency
  • Red Valley, AZ
National Provider Identifier
1871813634
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
516537 Issued in AZ
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Ranissa R. LeeNPI 1225371958
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
516537MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.