NPIMap

Organization Active NPI

Haven Sendero de Sonora, Inc.

Doing business as Sendero de Sonora

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1184814550
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
BH2869 Issued in AZ
Legal business name
HAVEN SENDERO DE SONORA, INC.
Doing business as
Sendero de Sonora
Practice address
2502 N Dodge Blvd
Suite 160
Tucson, AZ 85716-2671
Phone
(520) 618-8901
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Mr. William Page Barnes
Title
Cfo
Phone
(615) 250-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X BH2869 AZ Primary

Addresses

Primary practice location

2502 N Dodge Blvd
Suite 160
Tucson, AZ 85716-2671

Mailing address

2502 N Dodge Blvd
Suite 160
Tucson, AZ 85716-2671

Other names 1

  • Sendero de Sonora Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Sendero de Sonora2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1184814550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162671",
            "telephone_number": "520-618-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN SENDERO DE SONORA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-250-9091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sendero de Sonora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.