Havasu Regional Medical Center Home Health

LBN: Phc-Lake Havasu Inc
Havasu Regional Medical Center Home Health is an health care organization with primary practice located at 1851 Mesquite Ave Ste. 206, Lake Havasu City AZ 86403-5677. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Phc-Lake Havasu Inc can be contacted via phone (928) 680-1209, or through Giovanetti, Victor E. via phone (615) 920-7000.

Contact Information

Primary practice address
1851 Mesquite Ave Ste. 206 Lake Havasu City AZ 86403-5677
Phone: (928) 680-1209
Fax: (928) 680-7914
Website:
Map and Directions
Authorized official contact:
Name: Giovanetti, Victor E.
Phone: (615) 920-7000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HHA0063 Arizona

Profile Details

NPI number 1245343482
LBN Legal business name Phc-Lake Havasu Inc
DBA Doing business as Havasu Regional Medical Center Home Health
Authorized official Giovanetti, Victor E.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 23rd, 2015 - about 11 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 1245343482 NPPES
Arizona MEDICAID 435992

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