Organization Active NPI

Hope Lives - Vive la Esperanza

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
National Provider Identifier
1073935326
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSA13ADHS02123 Issued in AZ
Legal business name
HOPE LIVES - VIVE LA ESPERANZA
Practice address
2308 N 4TH St
Flagstaff, AZ 86004-3709
Phone
(480) 208-4010
Fax
(602) 388-1567
NPI assigned
Jan 6, 2014
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Debra Kurkoski
Title
Ceo
Phone
(480) 208-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSA13ADHS02123 AZ Primary

Addresses

Primary practice location

2308 N 4TH St
Flagstaff, AZ 86004-3709

Mailing address

1551 W Van Buren St
Phoenix, AZ 85007-2413
Phone (480) 208-4010

National Provider Directory

National Provider Directory
Tax ID family
Hope Lives - Vive la Esperanza4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2201 N Vickey St
Flagstaff, AZ 86004

2308 N 4th St
Flagstaff, AZ 86004
Phone (480) 208-4010

1016 E Buckeye Rd
Ste 145
Phoenix, AZ 85034
Phone (602) 672-2694

1551 W Van Buren St
Phoenix, AZ 85007
Phone (480) 208-4010

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1073935326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850072413",
            "telephone_number": "480-208-4010",
            "fax_number": "602-388-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043709",
            "telephone_number": "480-208-4010",
            "fax_number": "602-388-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIVES - VIVE LA ESPERANZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "KURKOSKI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-208-4010"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA13ADHS02123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.