NPIMap

Organization Active NPI

Gompers Habilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Phoenix, AZ
National Provider Identifier
1437518537
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
LP030525 Issued in AZ
Legal business name
GOMPERS HABILITATION CENTER
Practice address
6601 N 27TH Ave
Phoenix, AZ 85017-1219
Phone
(602) 336-0061
Fax
(602) 336-0249
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Ms. Tina Maria Jenkins
Title
LPN School Nurse
Phone
(623) 227-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LP030525 AZ Primary

Addresses

Primary practice location

6601 N 27TH Ave
Phoenix, AZ 85017-1219

Mailing address

6601 N 27TH Ave
Phoenix, AZ 85017-1219
Phone (602) 336-0061

National Provider Directory

National Provider Directory
Tax ID family
Gomper's Center 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.

Locations

6601 N 27th Ave
Phoenix, AZ 85017
Phone (602) 336-0061

Practitioners & affiliated clinicians

Practitioners 8

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": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1437518537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850171219",
            "telephone_number": "602-336-0061",
            "fax_number": "602-336-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMPERS HABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "LPN SCHOOL NURSE",
        "authorized_official_telephone_number": "623-227-8660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AZ",
            "license": "LP030525",
            "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 Feb 17, 2016; 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.