NPIMap

Organization Active NPI

Gomper's Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
National Provider Identifier
1043277569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
AHCCCS ID 811720 Issued in AZ
Legal business name
GOMPER'S CENTER, INC.
Practice address
6601 N 27TH Ave
Phoenix, AZ 85017-1219
Phone
(602) 336-0061
Fax
(602) 336-0249
NPI assigned
Apr 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Jacoby
Title
Executive Director
Phone
(602) 336-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X AHCCCS ID 811720 AZ Primary

Addresses

Primary practice location

6601 N 27TH Ave
Phoenix, AZ 85017-1219

Mailing address

6601 N 27TH Ave
Phoenix, AZ 85017-1219
Phone (602) 336-0061

National Provider Directory

National Provider Directory
Tax ID family
Gomper's Center 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.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043277569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMPER'S CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-336-0061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "AHCCCS ID 811720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.