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SACRED MOUNTAIN HOME CARE
NPI 1700029022
Home Health in St. Michaels, AZ

Active since April 16, 2009
2 MILES WEST OF DAYS INN ON HWY 264, ST. MICHAELS, AZ 86511(505) 612-9119 Get Directions Write a Review

NPPES record last updated: April 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Mountain Home Care NPPES

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

SACRED MOUNTAIN HOME CARE (NPI 1700029022) is a healthcare organization registered as a home health in St. Michaels, Arizona and active in the NPI registry since April 2009. The organization lists Tony Derald Lilly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700029022
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameSACRED MOUNTAIN HOME CARE
Location Address2 MILES WEST OF DAYS INN ON HWY 264St. Michaels, AZ 86511-0315
Mailing AddressPo Box 315St Michaels, AZ 86511-0315 · (505) 612-9119
Phone(505) 612-9119
Organization SubpartNo
Authorized OfficialTony Derald LillyCeo · (505) 612-9119
Enumeration DateApril 16, 2009
✔ NPI 1700029022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2 MILES WEST OF DAYS INN ON HWY 264, St. Michaels, AZ 86511
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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 Sacred Mountain Home Care's NPI number?

The NPI number for Sacred Mountain Home Care is 1700029022. It was assigned to this organization in the NPPES registry on April 16, 2009.

Where is Sacred Mountain Home Care located?

Sacred Mountain Home Care is located at 2 Miles West Of Days Inn On Hwy 264, St. Michaels, AZ 86511. The listed phone number is (505) 612-9119.

What is Sacred Mountain Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Sacred Mountain Home Care was last updated on April 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.