NPIMap

Organization Active NPI

Arizona Health Care Contract Management Services Inc.

Doing business as State

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1013187277
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
BH-2609 Issued in AZ
Legal business name
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Doing business as
State
Practice address
3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997
Phone
(480) 646-6175
Fax
(617) 790-4271
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mary Patricia Rodenberg-Roberts
Title
VP & Sr Asst General Counsel
Phone
(952) 836-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X BH-2609 AZ Primary

Addresses

Primary practice location

3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997

Mailing address

3838 N Central Ave Ste 1200
Phoenix, AZ 85012-1997
Phone (480) 646-6175

Other practice location 1

2022 W State Ave
Phoenix, AZ 85021-7838
Phone (602) 246-9409

Other identifiers 1

IdentifierTypeStateIssuer
930322MedicaidAZ

Other names 1

  • State Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arizona Health Care Contract Management Services Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1013187277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121997",
            "telephone_number": "480-646-6175",
            "fax_number": "617-790-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CENTRAL AVE STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121997",
            "telephone_number": "480-646-6175",
            "fax_number": "617-790-4271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 W State Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850217838",
            "country_code": "US",
            "telephone_number": "602-246-9409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "RODENBERG-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
        "authorized_official_telephone_number": "952-836-2234"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH-2609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930322",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "State",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.