Woodland Home

LBN: Changepoint Integrated Health
Woodland Home is an health care organization with primary practice located at 447 S Woodland Ln , Pinetop AZ 85935-7139. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Changepoint Integrated Health can be contacted via phone (928) 537-2951, or through Hospodka, Michele via phone (928) 537-2951.

Contact Information

Primary practice address
447 S Woodland Ln Pinetop AZ 85935-7139
Fax: (928) 892-5828
Website:
Authorized official contact:
Name: Hospodka, Michele

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X BH4759 Arizona

Profile Details

NPI number 1568821346
LBN Legal business name Changepoint Integrated Health
DBA Doing business as Woodland Home
Authorized official Hospodka, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2016
Last updated Dec 9th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568821346 NPPES
Arizona MEDICAID 117138

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