Silver Ridge Village

LBN: Mohave Health Care
Silver Ridge Village is an health care organization with primary practice located at 2812 Silver Creek Rd , Bullhead City AZ 86442-8309. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mohave Health Care can be contacted via phone (928) 763-1404, or through Haines, Cindy via phone (928) 718-4852.

Contact Information

Primary practice address
2812 Silver Creek Rd Bullhead City AZ 86442-8309
Fax: (928) 763-9795
Website:
Authorized official contact:
Name: Haines, Cindy

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NCI 353 Arizona

Profile Details

NPI number 1306846936
LBN Legal business name Mohave Health Care
DBA Doing business as Silver Ridge Village
Authorized official Haines, Cindy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Jun 27th, 2008 - about 16 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 1306846936 NPPES
Arizona MEDICAID 36-0199

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