Organization Active NPI

Women's Transition Project, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bisbee, AZ
National Provider Identifier
1407928351
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-2640 Issued in AZ
Legal business name
WOMEN'S TRANSITION PROJECT, INC.
Practice address
240 O'Hara Avenue
Bisbee, AZ 85603
Phone
(520) 432-1771
Fax
(520) 432-4703
NPI assigned
Nov 15, 2006
Organization subpart
Yes
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Stephanie Oliver, CPC, RMM, ICD10CT-CM
Title
Chief Quality Management Officer
Phone
(520) 628-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH-2640 AZ Primary

Addresses

Primary practice location

240 O'Hara Avenue
Bisbee, AZ 85603

Mailing address

2700 S 8TH Ave
Tucson, AZ 85713-4730
Phone (520) 628-3400

Other identifiers 2

IdentifierTypeStateIssuer
BH-2640OtherAZSTATE LICENSE
989634MedicaidAZ

Other names 1

  • Renaissance House Other name

National Provider Directory

National Provider Directory
Part of
Compass Health Care Mollner Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1407928351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 8TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134730",
            "telephone_number": "520-628-3400",
            "fax_number": "520-628-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 O'HARA AVENUE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "85603",
            "telephone_number": "520-432-1771",
            "fax_number": "520-432-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S TRANSITION PROJECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASADERA BEHAVIORAL HEALTH NETWORK, INC.",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF QUALITY MANAGEMENT OFFICER",
        "authorized_official_telephone_number": "520-628-3400",
        "authorized_official_credential": "CPC, RMM, ICD10CT-CM"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "BH-2640",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "989634",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bisbee, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.