NPIMap

Organization Active NPI

The Excel Group

  • Mental Illness Community Based Residential Treatment Facility
  • Yuma, AZ
National Provider Identifier
1508940685
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH-1554 Issued in AZ
Legal business name
THE EXCEL GROUP
Practice address
3180 E 40TH St
Yuma, AZ 85365-7772
Phone
(928) 341-0335
Fax
(928) 344-9120
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Ms. Carol A. Carr VIII
Title
Ceo
Phone
(928) 341-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH-1554 AZ Primary

Addresses

Primary practice location

3180 E 40TH St
Yuma, AZ 85365-7772

Mailing address

3250A E 40TH St
Yuma, AZ 85365-7748
Phone (928) 641-0335

Other identifiers 1

IdentifierTypeStateIssuer
437443MedicaidAZ

Other names 1

  • Casa de Esperanza Group Home Other name

National Provider Directory

National Provider Directory
Tax ID family
The Excel Group14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1508940685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250A E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657748",
            "telephone_number": "928-641-0335",
            "fax_number": "928-539-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 E 40TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853657772",
            "telephone_number": "928-341-0335",
            "fax_number": "928-344-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCEL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-341-0335",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "VIII"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437443",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de Esperanza Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.