NPIMap

Organization Active NPI

Corazon Inc.

Doing business as Corazon Integrated Healthcare Services

  • Community/Behavioral Health Agency
  • Douglas, AZ
National Provider Identifier
1346675394
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4382 Issued in AZ
Legal business name
CORAZON INC.
Doing business as
Corazon Integrated Healthcare Services
Practice address
936 F Ave Ste a&B
Douglas, AZ 85607-2001
Phone
(520) 836-4278
NPI assigned
Sep 10, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Teresa Menachaca, LCSW
Title
Ceo
Phone
(520) 836-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4382 AZ Primary

Addresses

Primary practice location

936 F Ave Ste a&B
Douglas, AZ 85607-2001

Mailing address

900 E Florence Blvd
Casa Grande, AZ 85122-4666
Phone (520) 836-4278

Other identifiers 1

IdentifierTypeStateIssuer
584944MedicaidAZ

Other names 1

  • Corazon Integrated Healthcare Services Doing business as

National Provider Directory

National Provider Directory

Locations

900 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 836-4278

936 N F Ave
Ste Ab
Douglas, AZ 85607
Phone (520) 836-4278

936 N F Ave
Ste B
Douglas, AZ 85607
Phone (520) 364-3630

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1346675394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224666",
            "telephone_number": "520-836-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 F AVE STE A&B",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856072001",
            "telephone_number": "520-836-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MENACHACA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-836-4278",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "4382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584944",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corazon Integrated Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.