Organization Active NPI

Nazcare, Inc Power Recovery Center

  • Exclusive Provider Organization
  • Eagar, AZ
National Provider Identifier
1164799987
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
CSA03NA0148 Issued in AZ
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 Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

367 N Main St
Eagar, AZ 85925
Phone (928) 333-4990

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X CSA03NA0148 AZ Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.