Heart of Healing Az

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0764 Issued in AZ

Legal business name

HEART OF HEALING AZ

Practice address

4401 N 16TH St
Phoenix, AZ 85016-5302

Phone

(602) 413-0424

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Aeimee Gloria Diaz, L. AC.

Title

Owner, Practitioner

Phone

(602) 413-0424

Specialties & licenses 2

Addresses

Other names 1

• Health be with you Doing business as

Locations

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1104230853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165302",
            "telephone_number": "602-413-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165302",
            "telephone_number": "602-413-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF HEALING AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "AEIMEE",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "602-413-0424",
        "authorized_official_credential": "L. AC."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AZ",
            "license": "0764",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "0764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health be with you",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart Health Center, LLC
• Heart Language LLC
• Heart of Care Integrated Clinic Inc
• Heart of Friends Living Homes LLC
• Heart of Harbor Integrated Care Inc.
• Heart of Penny LLC
• Heart of Wings Family Services
• Heart One Associates LLC
• Heart Rhythm and Vascular LLC
• Heart Rhythm Solutions of Phoenix PLLC

• Preferred Provider Organization in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.