Provider Demographics
NPI:1205839545
Name:HOME HEALTH INSIGHTS, INC.
Entity Type:Organization
Organization Name:HOME HEALTH INSIGHTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:FEEZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-421-2239
Mailing Address - Street 1:121 W FLORENCE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-4051
Mailing Address - Country:US
Mailing Address - Phone:520-421-2239
Mailing Address - Fax:520-421-2503
Practice Address - Street 1:121 W FLORENCE BLVD
Practice Address - Street 2:STE A
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-4051
Practice Address - Country:US
Practice Address - Phone:520-421-2239
Practice Address - Fax:520-421-2503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA0192251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ466129-01Medicaid