Provider Demographics
NPI:1154968691
Name:NHOUSE INC
Entity type:Organization
Organization Name:NHOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:THUNDER
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:III
Authorized Official - Credentials:BM
Authorized Official - Phone:623-760-2100
Mailing Address - Street 1:45652 W TUCKER RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-6640
Mailing Address - Country:US
Mailing Address - Phone:623-760-2100
Mailing Address - Fax:
Practice Address - Street 1:45652 W TUCKER RD
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-6640
Practice Address - Country:US
Practice Address - Phone:623-760-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ594944Medicaid