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INTEGRATED HEALTHCARE MOBILE SOLUTIONS, LLC
NPI 1255749982
Nurse Practitioner - Family in Tempe, AZ

Active since July 25, 2014CLIA 03D2128514 · Waiver
1840 E BASELINE RD STE A1, TEMPE, AZ 85283(480) 718-5400(877) 666-4624 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Healthcare Mobile Solutions, Llc NPPES

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

INTEGRATED HEALTHCARE MOBILE SOLUTIONS, LLC (NPI 1255749982) is a healthcare organization registered as a family in Tempe, Arizona and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through March 30, 2027, maintains a secondary practice location in Queen Creek, and lists Brooke W Eisenhart, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255749982
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED HEALTHCARE MOBILE SOLUTIONS, LLC
Location Address1840 E BASELINE RD STE A1Tempe, AZ 85283-1527
Mailing AddressPo Box 308Queen Creek, AZ 85142-1806 · (480) 718-5400 · Fax (877) 666-4624
Phone(480) 718-5400
Fax(877) 666-4624
Organization SubpartNo
Authorized OfficialBrooke W EisenhartCeo · (480) 718-5400
Enumeration DateJuly 25, 2014
Last NPPES UpdateJanuary 25, 2018
✔ NPI 1255749982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedOptometristTaxonomy 152W00000X
Also ListedPodiatristTaxonomy 213E00000X
1840 E BASELINE RD STE A1, Tempe, AZ 85283
Open in Google Maps ↗

Secondary Practice Location 1

Location 119350 E Silver Creek LnQueen Creek, AZ 85142-9064 · Phone (480) 718-5400 · Fax (877) 666-4624

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

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 03D2128514

Integrated Healthcare Mobile Solutions · Chandler, AZ
Active · expires Mar 30, 2027
CLIA Number03D2128514
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorBrooke W. Eisenhart
Laboratory Phone(480) 718-5400
Laboratory LocationIntegrated Healthcare Mobile Solutions3800 W Ray Rd Ste 5, Chandler, AZ 85226
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Integrated Healthcare Mobile Soluti carries, from the Medicare DMEPOS supplier directory.

Integrated Healthcare Mobile Soluti

DMEPOS supplier · Chandler, AZOperated by Integrated Healthcare Mobile Solutions, LLC
✔

Accepts Medicare assignment

Integrated Healthcare Mobile Soluti agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20487581
Medicare Participant SinceAugust 29, 2014
Supplier Location3800 W Ray Rd Ste 5Chandler, AZ 85226
Phone(480) 718-5400
Provider TypeCertified Clinical Nurse Specialist · Nurse Practitioner · Physician – Podiatry
Supplier Specialties
Nursing Facility Intermediate Care Unknown Supplier/Provider

Medicare Product Categories

Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

MARYN JAYNE MORENI FNP-C
Nurse Practitioner (Family)
1840 E BASELINE RD STE A1
TEMPE, AZ 85283
Maricopa County (480) 718-5400
BROOKE W. EISENHART FNP
Nurse Practitioner (Family)
1840 E BASELINE RD STE A1
TEMPE, AZ 85283
Maricopa County (480) 718-5400
DAUD BIOLA KOLEOSHO
Nurse Practitioner (Primary Care)
1840 E BASELINE RD STE A1
TEMPE, AZ 85283
Maricopa County (480) 718-5400

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 Integrated Healthcare Mobile Solutions, LLC's NPI number?

The NPI number for Integrated Healthcare Mobile Solutions, LLC is 1255749982. It was assigned to this organization in the NPPES registry on July 25, 2014.

Where is Integrated Healthcare Mobile Solutions, LLC located?

Integrated Healthcare Mobile Solutions, LLC is located at 1840 E Baseline Rd Ste A1, Tempe, AZ 85283. The listed phone number is (480) 718-5400.

What is Integrated Healthcare Mobile Solutions, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Integrated Healthcare Mobile Solutions, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Integrated Healthcare Mobile Soluti accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Integrated Healthcare Mobile Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2128514) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Healthcare Mobile Solutions, LLC was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.