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Contact Information

SHI HEART HOME HEALTH
NORTH ROUTE 7, MILEPOST 1.5
OLD CRYSTAL ROAD
FORT DEFIANCE, AZ86504
 Phone: 928-729-5319
 Fax: 928-729-5526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SHI HEART HOME HEALTH

NPI Number 1104021302
LBN Legal business name SHI HEART HOME HEALTH
Authorized official MICHAEL HUGHES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2007
Last updated 06/06/2008 - About 18 years ago
Identifiers
AZ Medicaid 769705
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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