Saguaro Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAGUARO GROUP, LLC

Practice address

3972 Business 17 E
Ste C
Bolivia, NC 28422-9030

Phone

(910) 253-8700

Fax

(910) 253-8755

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Harold Ernest Jones Jr.

Title

Member

Phone

(919) 256-0824

Specialties & licenses 1

Addresses

Other names 1

• Community Innovations, Inc Doing business as

Tax ID family

Community Innovations Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saguaro Group LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
  • NPI 1417250853
  NPD tax ID

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1396010047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 FAIRHILL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123215",
            "telephone_number": "919-256-0824",
            "fax_number": "919-256-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 BUSINESS 17 E",
            "address_2": "STE C",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284229030",
            "telephone_number": "910-253-8700",
            "fax_number": "910-253-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-256-0824",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Innovations, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Christian Reschly, M.D.
• Rha Health Services Inc
• Riccobene & Associates I, DDS, P.a.
• Steven Eric Robbins, MD
• Nicole Amber Rose Cervantes, CNM
• Joseph Anthony Saracino, M.D.
• Richard Ralph Scallion, MD
• David Brian Schmitz, DO
• Ashton Jaice Scruggs-Poole
• Justin Sempsrott

• All providers in Bolivia, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.