Central Az Special Services, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

042416 Issued in AZ

Legal business name

CENTRAL AZ SPECIAL SERVICES, INC

Practice address

2050 E University Dr
Suite 3
Phoenix, AZ 85034-6700

Phone

(602) 253-9588

Fax

(602) 258-0207

NPI assigned

Nov 17, 2009

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Colleen Johnston

Title

Ceo

Phone

(602) 253-9588

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1366779076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346700",
            "telephone_number": "602-253-9588",
            "fax_number": "602-258-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346700",
            "telephone_number": "602-253-9588",
            "fax_number": "602-258-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AZ SPECIAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-253-9588"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AZ",
            "license": "042416",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "042416",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "042416",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "042416",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AZ",
            "license": "042416",
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AZ",
            "license": "042416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central Home Health Services Inc.

• Developmentally Disabled Services Day Training Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Developmentally Disabled Services Day Training Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.