NPIMap

Organization Active NPI

Visions of Hope Arizona Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1396806089
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
AZAHCCCS767709 Issued in AZ
Legal business name
VISIONS OF HOPE ARIZONA INC
Practice address
601 W Hatcher Rd
Suite 202
Phoenix, AZ 85021-3594
Phone
(602) 404-1555
Fax
(602) 867-2435
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
James Michael Russo, MA, M.P.H.
Title
Chief Executive Officer
Phone
(602) 404-1555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X BH3998 AZ
Community/Behavioral Health Agency 251S00000X AZAHCCCS767709 AZ Primary

Addresses

Primary practice location

601 W Hatcher Rd
Suite 202
Phoenix, AZ 85021-3594

Mailing address

601 W Hatcher Rd
Suite 202
Phoenix, AZ 85021-3594
Phone (602) 404-1555

Other identifiers 1

IdentifierTypeStateIssuer
767709OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Visions of Hope Arizona Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

601 W Hatcher Rd
Ste 202
Phoenix, AZ 85021
Phone (602) 404-1555

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1396806089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W HATCHER RD",
            "address_2": "SUITE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213594",
            "telephone_number": "602-404-1555",
            "fax_number": "602-867-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HATCHER RD",
            "address_2": "SUITE 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213594",
            "telephone_number": "602-404-1555",
            "fax_number": "602-867-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS OF HOPE ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "602-404-1555",
        "authorized_official_credential": "MA, M.P.H."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH3998",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "AZAHCCCS767709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "767709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.