Sacred Mountain Home Care

LBN: Sacred Mountain Home Care
Sacred Mountain Home Care is an health care organization with primary practice located at 2 Miles West Of Days Inn On Hwy 264 , St. Michaels AZ 86511-0315. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Sacred Mountain Home Care can be contacted via phone (505) 612-9119, or through Lilly, Tony Derald via phone (505) 612-9119.

Contact Information

Primary practice address
2 Miles West Of Days Inn On Hwy 264 St. Michaels AZ 86511-0315
Phone: (505) 612-9119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lilly, Tony Derald
Phone: (505) 612-9119

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1700029022
LBN Legal business name Sacred Mountain Home Care
DBA Doing business as
Authorized official Lilly, Tony Derald
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2009
Last updated Apr 16th, 2009 - about 17 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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