Active NPI
Nazcare, Inc Power Recovery Center
- Exclusive Provider Organization
- Eagar, AZ
National Provider Identifier
1164799987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- CSA03NA0148
- Legal business name
- NAZCARE, INC POWER RECOVERY CENTER
- Practice address
- 367 N Main St
Eagar, AZ 85925-9675 - Phone
- (928) 333-4990
- Fax
- (928) 649-9394
- NPI assigned
- Nov 22, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Roberta Lynne Howard, MA, LCS, BHT
- Title
- Chief Executive Officer
- Phone
- (928) 442-9205
National Provider Directory
National Provider Directory- Tax ID family
- Nazcare Inc - Care Wellness Center
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Locations
367 N Main St
Eagar, AZ 85925
Phone (928) 333-4990
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | CSA03NA0148 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
367 N Main St
Eagar, AZ 85925-9675
Mailing address
599 White Spar Rd
Prescott, AZ 86303-4627
Phone (928) 442-9205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2013.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368662400000",
"number": "1164799987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 WHITE SPAR RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034627",
"telephone_number": "928-442-9205",
"fax_number": "928-442-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 N MAIN ST",
"city": "EAGAR",
"state": "AZ",
"postal_code": "859259675",
"telephone_number": "928-333-4990",
"fax_number": "928-649-9394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAZCARE, INC POWER RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-22",
"last_updated": "2013-05-16",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "928-442-9205",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LCS, BHT"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "AZ",
"license": "CSA03NA0148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagar, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.