NPIMap

Organization Active NPI

Resilient Health, Inc.

Doing business as Resilient Health

  • Community/Behavioral Health Agency
  • Gilbert, AZ
National Provider Identifier
1285150896
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC8445 Issued in AZ
Legal business name
RESILIENT HEALTH, INC.
Doing business as
Resilient Health
Practice address
3271 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8511
Phone
(602) 995-1767
Fax
(602) 995-1863
NPI assigned
Aug 15, 2017
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kimberly Quiros
Title
Coo
Phone
(602) 995-1767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Community/Behavioral Health Agency 251S00000X OTC8445 AZ Primary

Addresses

Primary practice location

3271 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8511

Mailing address

2255 W Northern Ave Ste B100
Phoenix, AZ 85021-4936
Phone (602) 995-1767

Other identifiers 1

IdentifierTypeStateIssuer
OTC8445OtherAZAZ LICENSE

Other names 1

  • Resilient Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000247 AZ Part B Supplier - Clinic/Group Practice 6305017245 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
Practice locations: Gilbert, AZ; Phoenix, AZ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Resilient Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

3271 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 550-3193

1415 N 1st St
Phoenix, AZ 85004
Phone (602) 302-7815

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1285150896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 W NORTHERN AVE STE B100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214936",
            "telephone_number": "602-995-1767",
            "fax_number": "602-995-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978511",
            "telephone_number": "602-995-1767",
            "fax_number": "602-995-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "QUIROS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-995-1767"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC8445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "OTC8445",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.