Healthcare Provider Details

I. General information

NPI: 1386399541
Provider Name (Legal Business Name): NORTH MOUNTAIN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W DARLEEN DR
FLAGSTAFF AZ
86001-0700
US

IV. Provider business mailing address

2900 W DARLEEN DR
FLAGSTAFF AZ
86001-0700
US

V. Phone/Fax

Practice location:
  • Phone: 928-225-8208
  • Fax: 928-440-3357
Mailing address:
  • Phone: 928-225-8208
  • Fax: 928-440-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANNMARIE CRAIG
Title or Position: OWNER
Credential:
Phone: 928-225-8208