HIDDEN OASIS, LLC (NPI# 1447733043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447733043 |
| Entity Type | Organization |
| Organization Name | HIDDEN OASIS, LLC |
| Practice Address |
6081 N Dodge Dr Prescott Valley AZ 86314-1742 |
| Practice Telephone | 9282734442 |
| Mailing Telephone | 9282734442 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | KARL HENDERSON (OWNER) |
| Authorized Official Telephone | 9282734442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | Hospitals | ||
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| Street Address |
6081 N DODGE DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900393 | Family Care Home Health & Hospice | Hospice, Inpatient | 3464 Sundial Dr, Bullhead City, AZ 86429-7631 | 2020-07-30 |
| 1225427081 | Morenos Care Home | Hospice, Inpatient | 4713 E Cecelia St, Tucson, AZ 85711-4313 | 2015-01-16 |
| 1013322635 | Banner Home Care Arizona | Hospice, Inpatient | 275 E Germann Rd Ste 110w, Gilbert, AZ 85297-2916 | 2014-06-23 |
| 1659719771 | Prince of Peace Hospice & Palliative Care | Hospice, Inpatient | 660 S Pinal Pkwy Apt 106, Florence, AZ 85132-9726 | 2013-06-11 |
| 1063597169 | Carondelet Health Network | Hospice, Inpatient | 1802 W St Mary's Road, Tucson, AZ 85745-2623 | 2006-10-26 |
| 1457381295 | Rta Hospice, LLC | Hospice, Inpatient | 70 Bell Rock Plaza, Sedona, AZ 86351 | 2006-07-04 |
| 1568492304 | Rta Hospice, LLC | Hospice, Inpatient | 1789 W Commerce Drive, Lakeside, AZ 85929-5354 | 2006-07-04 |
| 1568492395 | Rta Hospice, LLC | Hospice, Inpatient | 511 S Mud Springs Road, Payson, AZ 85541-5747 | 2006-07-04 |
| 1023048857 | Rta Hospice, LLC | Hospice, Inpatient | 1675 E Monument Plaza Circle, Casa Grande, AZ 85122-5600 | 2006-07-04 |
| 1003424623 | Nana Hope Hospice Center, LLC | Hospice, Inpatient | 1620 N 48th St, Phoenix, AZ 85008-7723 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.