MOHAVE HEALTHCARE INC. NPI 1164054136

NPI Information

NPI: 1164054136
Provider Name: MOHAVE HEALTHCARE, INC.

Doing Business As: EMBLEM HOSPICE WEST

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 03D2119688

Address:
10320 W MCDOWELL RD STE 7024-B
AVONDALE, AZ
ZIP 85392
Phone: (623) 322-8686
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MOHAVE HEALTHCARE, INC. is a hospice care community based in Avondale, AZ. MOHAVE HEALTHCARE, INC. NPI is 1164054136. The provider is registered as an organization entity type.
The provider Is Doing Business As Emblem Hospice West.

The provider's business location address is:

10320 W MCDOWELL RD STE 7024-B
AVONDALE, AZ
ZIP 85392-863
Phone: (623) 322-8686

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 03D2119688 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2020 and was last updated on 2/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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: 11/14/2023

NPI Synchronization or Removal

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