NPIMap

Organization Active NPI

The Excel Group

  • Substance Abuse Rehabilitation Facility
  • Yuma, AZ
National Provider Identifier
1306929161
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-2820 Issued in AZ
Legal business name
THE EXCEL GROUP
Practice address
3250B E 40TH St
Yuma, AZ 85365-7748
Phone
(928) 341-4220
Fax
(928) 344-4457
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Ms. Carol A. Carr
Title
Ceo
Phone
(928) 341-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH-2820 AZ Primary

Addresses

Primary practice location

3250B E 40TH St
Yuma, AZ 85365-7748

Mailing address

3250A E 40TH St
Yuma, AZ 85365-7748
Phone (928) 341-0335

Other identifiers 1

IdentifierTypeStateIssuer
714495MedicaidAZ

Other names 1

  • Southwest Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Excel Group14 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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1306929161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-0335",
            "fax_number": "928-539-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250B E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-341-4220",
            "fax_number": "928-344-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCEL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-341-0335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-2820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714495",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 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.