People of Color Network

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

BH2585 Issued in AZ

Legal business name

PEOPLE OF COLOR NETWORK

Practice address

609 N 2ND Ave
Phoenix, AZ 85003-1653

Phone

(602) 253-3084

Fax

(602) 253-3732

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Romero

Title

Ceo

Phone

(602) 253-3084

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043240435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N 2ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031653",
            "telephone_number": "602-253-3084",
            "fax_number": "602-253-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N 2ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031653",
            "telephone_number": "602-253-3084",
            "fax_number": "602-253-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE OF COLOR NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-253-3084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDE NUMBER",
            "identifier": "703547",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP BILLER",
            "identifier": "960882",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Chiropractic, PLC
• Ryan Wells Penrod, PA-C
• Tim Penrod, LMFT
• Stephanie Marie Penton, MD
• Timothy Penton
• People of Color Network
• People of Color Network
• People of Color Network
• People of Color Network
• People of Color Network

• Case Management Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.