SACRED MOUNTAIN HOME CARE is a home health in St. Michaels, 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. SACRED MOUNTAIN HOME CARE NPI is 1700029022. The provider is registered as an organization entity type.
The provider's business location address is:
2 MILES WEST OF DAYS INN ON HWY 264
ST. MICHAELS, AZ
ZIP 86511-315
Phone: (505) 612-9119
The provider's authorized official is Tony Derald Lilly .
The authorized official title is Ceo and has the following contact phone number (505) 612-9119.
The enumeration date for this NPI number is 4/16/2009 and was last updated on 4/16/2009.