NPIMap

Organization Active NPI

Az Interact

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1154781037
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4802 Issued in AZ
Legal business name
AZ INTERACT
Practice address
7020 W Cavalier Dr
Glendale, AZ 85303-4439
Phone
(602) 636-0488
Fax
(623) 328-8980
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Eduardo Santana
Title
Administrator
Phone
(602) 636-0488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4802 AZ Primary

Addresses

Primary practice location

7020 W Cavalier Dr
Glendale, AZ 85303-4439

Mailing address

7020 W Cavalier Dr
Glendale, AZ 85303-4439

National Provider Directory

National Provider Directory
Tax ID family
Az Interact LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1154781037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 W CAVALIER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034439",
            "fax_number": "623-328-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 W CAVALIER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034439",
            "telephone_number": "602-636-0488",
            "fax_number": "623-328-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ INTERACT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-636-0488"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.