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HIGH COUNTRY EARLY INTERVENTION INC NPI 1144332107


NPI Information

NPI: 1144332107
Provider Name: HIGH COUNTRY EARLY INTERVENTION INC

Doing Business As: KAREN ANN FAY

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
3105 CLEARWATER DR
SUITE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 776-9285
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HIGH COUNTRY EARLY INTERVENTION INC is a home health in Prescott, AZ. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HIGH COUNTRY EARLY INTERVENTION INC NPI is 1144332107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Karen Ann Fay.

The provider's business location address is:

3105 CLEARWATER DR
SUITE B
PRESCOTT, AZ
ZIP 86305-166
Phone: (928) 776-9285
Fax: (928) 776-7753

The provider's authorized official is Anna M Mancha .
The authorized official title is Executive Director and has the following contact phone number (928) 776-9285.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist4192ARIZONANo
2174400000XSpecialist3724ARIZONANo
3225100000XPhysical TherapistNo
4235Z00000XSpeech-Language PathologistNo
5251B00000XCase ManagementNo
6252Y00000XEarly Intervention Provider Agency4192ARIZONANo
7252Y00000XEarly Intervention Provider Agency3724ARIZONANo
8261QD1600XClinic/CenterDevelopmental Disabilities4192ARIZONANo
9261QP2000XClinic/CenterPhysical Therapy5331ARIZONANo
10251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1940454MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.