Organization Active NPI

Healing Edge Recovery and Wellness Center

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
National Provider Identifier
1427884675
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HEALING EDGE RECOVERY AND WELLNESS CENTER
Practice address
4220 N 20TH Ave Ste 200
Phoenix, AZ 85015-5124
Phone
(602) 753-5544
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Kamaljit Kaur, DO
Title
DO
Phone
(602) 753-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

4220 N 20TH Ave Ste 200
Phoenix, AZ 85015-5124

Mailing address

4220 N 20TH Ave Ste 200
Phoenix, AZ 85015-5124
Phone (602) 753-5544

National Provider Directory

National Provider Directory

Locations

4220 N 20th Ave
Ste 200
Phoenix, AZ 85015
Phone (602) 753-5544

Practitioners & affiliated clinicians

Practitioners 1

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": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1427884675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N 20TH AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155124",
            "telephone_number": "602-753-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N 20TH AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155124",
            "telephone_number": "602-753-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EDGE RECOVERY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "KAMALJIT",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "602-753-5544",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2024; 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.