CASA DE ESPERANZA INC. NPI 1124195284

NPI Information

NPI: 1124195284
Provider Name: CASA DE ESPERANZA, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
780 S PARK CENTRE AVE
GREEN VALLEY, AZ
ZIP 85614
Phone: (520) 625-2273
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CASA DE ESPERANZA, INC. is a voluntary or charitable in Green Valley, AZ. CASA DE ESPERANZA, INC. NPI is 1124195284. The provider is registered as an organization entity type.

The provider's business location address is:

780 S PARK CENTRE AVE
GREEN VALLEY, AZ
ZIP 85614-127
Phone: (520) 625-2273

The provider's authorized official is William T Mccreery .
The authorized official title is Executive Director and has the following contact phone number (520) 625-2273.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	251V00000X	Voluntary or Charitable		AL0553D	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	117037	MEDICAID	ARIZONA
2	209545	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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