MEDICARE: HOME HEALTH FLAGSTAFF LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1689147258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH FLAGSTAFF LLC

Provider Business Mailing Address
First Line	:	885 PENNIMAN AVE UNIT 6426
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-7722
Country	:	US
Telephone Number	:	734-560-8953
Fax Number	:	954-337-3112

Provider Business Practice Location Address
First Line	:	823 N SAN FRANCISCO ST STE 2-G1
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3294
Country	:	US
Telephone Number	:	928-414-9070
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF CLINICAL SERVICES
Name	:	KRISTI JACKSON
Credential	:
Telephone Number	:	941-257-4285

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	12/12/2022

Similar Medicare Providers

1073127858 — FLAGSTAFF PAIN & TREATMENT CENTER
Practice Location Address:

823 N SAN FRANCISCO ST
FLAGSTAFF, AZ
86001-3294

Practice Phone: 602-903-0360
Practice Fax:

1497309330 — ASHLEY GONZALEZ MEDRANO
Practice Location Address:

823 N SAN FRANCISCO ST
FLAGSTAFF, AZ
86001-3294

Practice Phone: 520-244-0089
Practice Fax:

1992484729 — VCG ARIZONA LLC
Practice Location Address:

823 N SAN FRANCISCO ST STE 2-G1
FLAGSTAFF, AZ
86001-3294

Practice Phone: 903-787-7609
Practice Fax:

1902472145 — JILL MARIE COONEY MED, BCBA, LBA
Practice Location Address:

2748 N EDDY DR
FLAGSTAFF, AZ
86001-0702

Practice Phone: 928-600-2190
Practice Fax:

1679963839 — DR. ANWAR M VARDAG M.D.
Practice Location Address:

1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118

Practice Phone: 928-773-2112
Practice Fax:

1598603078 — ALLIANCE HEALTHCARE SERVICES INC
Practice Location Address:

1200 N BEAVER ST
FLAGSTAFF, AZ
86001-3118

Practice Phone: 800-530-0912
Practice Fax:

Directions to “HOME HEALTH FLAGSTAFF LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.