MOHAVE HEALTHCARE, INC. (NPI# 1568828804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568828804 |
Entity Type | Organization |
Organization Name | MOHAVE HEALTHCARE, INC. |
Practice Address |
1317 S Joshua Ave Ste P Parker AZ 85344-5754 |
Practice Telephone | 9284570100 |
Practice Fax Number | 5203333068 |
Mailing Telephone | 9284570100 |
Mailing Fax Number | 5203333068 |
Enumeration Date | 2015-12-31 |
Last Update Date | 2017-11-16 |
Authorized Official Name | JOHN J GOCHNOUR (VICE PRESIDENT) |
Authorized Official Telephone | 2084011365 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | HSPC 7364 | AZ | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164054136 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
1114385325 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 149350 Ukiah Trl Ste 103, Big River, CA 92242-9694 | 2016-02-02 |
1629452768 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 2649 Hway 95 Unit H, Bullhead City, AZ 86442-7796 | 2015-07-18 |
1043694326 | Mohave Healthcare, Inc. | Home Health | 1317 S Joshua Ave Ste Q, Parker, AZ 85344-5759 | 2015-07-16 |
1578947842 | Mohave Healthcare, Inc. | Home Health | 500 Lake Havasu Ave N, Suite D-102, Lake Havasu City, AZ 86403-3606 | 2015-07-16 |
1457735748 | Mohave Healthcare, Inc. | Home Health | 149350 Ukiah Trail, Suite 102, Big River, CA 92242-2071 | 2015-07-16 |
Street Address |
1317 S JOSHUA AVE STE P |
City | PARKER |
State | AZ |
Zip Code | 85344-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
Find all providers in zip 85344 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467861526 | Continuum Home Hospice LLC | Hospice Care, Community Based | 1713 S Kofa Ave Ste E, Parker, AZ 85344-6401 | 2014-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629677224 | In My Home Hospice Care | Hospice Care, Community Based | 1204 E Baseline Rd Ste 101, Tempe, AZ 85283-1447 | 2020-10-23 |
1295334282 | Aventus Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001253, Tucson, AZ 85701-1612 | 2020-10-20 |
1659970648 | Avra Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001255, Tucson, AZ 85701-1612 | 2020-10-20 |
1437758885 | Legacy Hospice Care LLC | Hospice Care, Community Based | 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 | 2020-10-17 |
1396351235 | Catalina Hospice | Hospice Care, Community Based | 225 W Ajo Way, Tucson, AZ 85713-6038 | 2020-09-16 |
1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
1104435379 | Nana Hope Hospice North LLC | Hospice Care, Community Based | 609 W Gurley St Ste 1, Prescott, AZ 86305-3619 | 2020-07-23 |
1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
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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.