NPIMap

Organization Active NPI

Parkplace Outreach & Counseling Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
National Provider Identifier
1164863361
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4308 Issued in AZ
Legal business name
PARKPLACE OUTREACH & COUNSELING CENTERS, INC.
Practice address
11349 E 24TH LN
Yuma, AZ 85367-3633
Phone
(928) 345-4777
Fax
(520) 466-8851
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PARK PLACE OUTREACH& COUNSELING CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Mr. Raymond Earnest Linafelter
Title
Executive Director
Phone
(520) 466-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4308 AZ Primary

Addresses

Primary practice location

11349 E 24TH LN
Yuma, AZ 85367-3633

Mailing address

PO Box 2779
Arizona City, AZ 85123-1040
Phone (520) 466-8850

Other names 1

  • casa de vida Other name

National Provider Directory

National Provider Directory
Tax ID family
Parkplace Outreach Counseling Centers Inc5 organizations share this tax ID, including this one
Part of
Parkplace Outreach Counseling Centers Inc

Other organizations with this tax ID 4

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": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1164863361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2779",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851231040",
            "telephone_number": "520-466-8850",
            "fax_number": "520-466-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 E 24TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853673633",
            "telephone_number": "928-345-4777",
            "fax_number": "520-466-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKPLACE OUTREACH & COUNSELING CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK PLACE OUTREACH& COUNSELING CENTERS, INC.",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "LINAFELTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-466-8850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "casa de vida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

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