NPIMap

Organization Active NPI

Open Inn, Inc

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1013124262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A6 Issued in AZ
Legal business name
OPEN INN, INC
Practice address
630 E 9TH St
Tucson, AZ 85705-8584
Phone
(520) 670-9040
Fax
(520) 670-9101
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nancy Panico, MBA
Title
Executive Director
Phone
(520) 670-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X A6 AZ Primary

Addresses

Primary practice location

630 E 9TH St
Tucson, AZ 85705-8584

Mailing address

PO Box 5766
Tucson, AZ 85703-0766
Phone (520) 670-9040

Other identifiers 1

IdentifierTypeStateIssuer
837461OtherAZAHCCCS #

National Provider Directory

National Provider Directory
Tax ID family
Open Inn Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

630 E 9th St
Tucson, AZ 85705
Phone (520) 670-9040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013124262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5766",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857030766",
            "telephone_number": "520-670-9040",
            "fax_number": "520-670-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 9TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857058584",
            "telephone_number": "520-670-9040",
            "fax_number": "520-670-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN INN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANICO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-670-9040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "A6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS #",
            "identifier": "837461",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.