Casa de Esperanza, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

AL0553D Issued in AZ

Legal business name

CASA DE ESPERANZA, INC.

Practice address

780 S Park Centre Ave
Green Valley, AZ 85614-5127

Phone

(520) 625-2273

NPI assigned

Nov 30, 2006

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William T McCreery, LPC

Title

Executive Director

Phone

(520) 625-2273

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1124195284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S PARK CENTRE AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145127",
            "telephone_number": "520-625-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S PARK CENTRE AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145127",
            "telephone_number": "520-625-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE ESPERANZA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MCCREERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-625-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": "AL0553D",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209545",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117037",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caremore Health Plan
• Dylan O'Keefe Carey
• Carondelet Health Network (Carondelet Rehabilitation Services)
• Carondelet Health Network (Carondelet Medical Mall At Green Valley)
• Kristi L Carriere, PT
• Sherry Lynn Cazares
• Center for Orthopedic Research and Education (The CORE Institute)
• Wa Ngoy Chao, DDS
• Rashmi Chhabra, MD
• Chirocade, Inc. (Green Valley Chiropractic Center)

• Voluntary or Charitable Agency in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Voluntary or Charitable Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.