Organization Active NPI

Alrenwald-Theranova, LLC

  • Early Intervention Provider Agency
  • Yuma, AZ
National Provider Identifier
1326224189
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ALRENWALD-THERANOVA, LLC
Practice address
2359 W 13TH LN
Yuma, AZ 85364-4376
Phone
(928) 376-6650
Fax
(928) 343-7990
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Raymond Lance Waldrop
Title
Business Manager
Phone
(928) 376-6650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

2359 W 13TH LN
Yuma, AZ 85364-4376

Mailing address

2359 W 13TH LN
Yuma, AZ 85364-4376
Phone (928) 376-6650

National Provider Directory

National Provider Directory

Locations

3802 W 16th St
Ste B
Yuma, AZ 85364

1025 W 24th St
Ste 8
Yuma, AZ 85364
Phone (520) 314-3702

3802 W 16th St
Yuma, AZ 85364
Phone (928) 210-2339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1326224189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 W 13TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644376",
            "telephone_number": "928-376-6650",
            "fax_number": "928-343-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 W 13TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644376",
            "telephone_number": "928-376-6650",
            "fax_number": "928-343-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALRENWALD-THERANOVA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "928-376-6650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2008; 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.