AT HOME BY CHOICE ASSISTED CARE, INC (NPI# 1134336753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134336753 |
| Entity Type | Organization |
| Organization Name | AT HOME BY CHOICE ASSISTED CARE, INC |
| Other Organization Name | COMFORT KEEPERS |
| Practice Address |
2126 Mcculloch Blvd N Lake Havasu City AZ 86403-6742 |
| Practice Telephone | 9288550005 |
| Practice Fax Number | 9288550075 |
| Mailing Telephone | 9288550005 |
| Mailing Fax Number | 9288550075 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CYNTHIA BIRNBAUM (PRESIDENT) |
| Authorized Official Telephone | 9288550005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 167215 | 05 |
| Other Name | Type Code |
|---|---|
| Comfort Keepers | Doing Business As Name - Organization |
| Street Address |
2126 MCCULLOCH BLVD N |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111529 | Havasu Physical Therapy | Physical Therapist | 2126 Mcculloch Blvd N, Ste 18, Lake Havasu City, AZ 86403-6742 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545536 | Rta Hospice, LLC | Hospice Care, Community Based | 1940 Mesquite Ave Ste I, Lake Havasu City, AZ 86403-6123 | 2019-08-27 |
| 1649254517 | Hospice of Havasu, Inc. | Hospice Care, Community Based | 232 London Bridge Rd Bldg A, Lake Havasu City, AZ 86403-4647 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677224 | In My Home Hospice Care | Hospice Care, Community Based | 1204 E Baseline Rd Ste 101, Tempe, AZ 85283-1447 | 2020-10-23 |
| 1295334282 | Aventus Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001253, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1659970648 | Avra Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001255, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1437758885 | Legacy Hospice Care LLC | Hospice Care, Community Based | 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 | 2020-10-17 |
| 1396351235 | Catalina Hospice | Hospice Care, Community Based | 225 W Ajo Way, Tucson, AZ 85713-6038 | 2020-09-16 |
| 1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
| 1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
| 1104435379 | Nana Hope Hospice North LLC | Hospice Care, Community Based | 609 W Gurley St Ste 1, Prescott, AZ 86305-3619 | 2020-07-23 |
| 1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
| 1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on AT HOME BY CHOICE ASSISTED CARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.