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ALAGA HEALTH
NPI 1215631205
Clinic/Center - Health Service in Prescott, AZ

Active since March 27, 2023CLIA Certified · 2 labs
3250 GATEWAY BLVD STE 110, PRESCOTT, AZ 86303(928) 350-7900 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2023, Mar 27, 2023 (2 updates tracked since 2023).

About Alaga Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAGA HEALTH (NPI 1215631205) is a healthcare organization registered as a health service in Prescott, Arizona and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates and lists John Michael Mata, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215631205
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameALAGA HEALTH CHRONIC CARE MANAGEMENT LLC
Location Address3250 GATEWAY BLVD STE 110Prescott, AZ 86303-6846
Mailing AddressPo Box 522Humboldt, AZ 86329-0522
Phone(928) 350-7900
Organization SubpartNo
Authorized OfficialJohn Michael MataAdministrator · (708) 248-0049
Enumeration DateMarch 27, 2023
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
✔ NPI 1215631205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3250 GATEWAY BLVD STE 110, Prescott, AZ 86303
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Other Names 1

Doing Business AsAlaga Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2327070

Alaga Health Chronic Care Management LLC · Prescott, AZ
Active · expires Jul 14, 2027
CLIA Number03D2327070
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorJohn Michael Blanco Mata
Laboratory Phone(928) 350-7900
Laboratory LocationAlaga Health Chronic Care Management LLC3250 Gateway Blvd Ste 110B, Prescott, AZ 86303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2327071

Alaga Home Health LLC · Prescott, AZ
Active · expires Jul 14, 2027
CLIA Number03D2327071
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorJohn Michael Blanco Mata
Laboratory Phone(928) 350-7900
Laboratory LocationAlaga Home Health LLC3250 Gateway Blvd Ste 110, Prescott, AZ 86303
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAGA HOME HEALTH LLC
Home Health
3250 GATEWAY BLVD STE 110
PRESCOTT, AZ 86303
Yavapai County (708) 248-0049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alaga Health Chronic Care Management LLC's NPI number?

The NPI number for Alaga Health Chronic Care Management LLC is 1215631205. It was assigned to this organization in the NPPES registry on March 27, 2023. The provider is doing business as Alaga Health.

Where is Alaga Health Chronic Care Management LLC located?

Alaga Health Chronic Care Management LLC is located at 3250 Gateway Blvd Ste 110, Prescott, AZ 86303. The listed phone number is (928) 350-7900.

What is Alaga Health Chronic Care Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Alaga Health Chronic Care Management LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Alaga Health Chronic Care Management LLC was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.