Active NPI
First Watch Ministries House of Helps
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1255632733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL8047H
- Legal business name
- FIRST WATCH MINISTRIES HOUSE OF HELPS
- Practice address
- 2102 E Alta Vista Rd
Phoenix, AZ 85042-4659 - Phone
- (602) 237-5966
- Fax
- (602) 595-9210
- NPI assigned
- Nov 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Lazaro
- Title
- Director
- Phone
- (602) 237-5966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL8047H | AZ | Primary |
Addresses
Primary practice location
2102 E Alta Vista Rd
Phoenix, AZ 85042-4659
Mailing address
2102 E Alta Vista Rd
Phoenix, AZ 85042-4659
Phone (602) 237-5966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530485 | Medicaid | AZ |
Other names 1
- House of HELLPS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289779200000",
"number": "1255632733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 E ALTA VISTA RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424659",
"telephone_number": "602-237-5966",
"fax_number": "602-595-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 E ALTA VISTA RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424659",
"telephone_number": "602-237-5966",
"fax_number": "602-595-9210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST WATCH MINISTRIES HOUSE OF HELPS",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-15",
"last_updated": "2010-11-15",
"status": "A",
"authorized_official_last_name": "LAZARO",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-237-5966",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL8047H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "530485",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "House of HELLPS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.