Organization Active NPI

Open Hearts Health Center

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1295321735
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN HEARTS HEALTH CENTER
Practice address
2812 N Norwalk Ste 104
Mesa, AZ 85215-1148
Phone
(678) 515-6507
NPI assigned
Dec 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Dimonte Evans
Title
Owner
Phone
(678) 515-6507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2812 N Norwalk Ste 104
Mesa, AZ 85215-1148

Mailing address

2812 N Norwalk Ste 104
Mesa, AZ 85215-1148
Phone (678) 515-6507

National Provider Directory

National Provider Directory

Locations

2812 N Norwalk
Ste 104
Mesa, AZ 85215
Phone (678) 515-6507

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1295321735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "678-515-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "678-515-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DIMONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-515-6507"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.