Organization Active NPI

Opal Horizons LLC

  • Case Manager/Care Coordinator
  • San Tan Valley, AZ
National Provider Identifier
1568359388
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
OPAL HORIZONS LLC
Practice address
7043 E Eagle Nest Way
San Tan Valley, AZ 85143-1239
Phone
(480) 490-5509
NPI assigned
Jun 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Authorized official

Name
Mrs. Kassidy Ann Hubbartt
Title
Found & Ceo
Phone
(480) 490-5509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7043 E Eagle Nest Way
San Tan Valley, AZ 85143-1239

Mailing address

7043 E Eagle Nest Way
San Tan Valley, AZ 85143-1239
Phone (480) 490-5509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756512000000",
    "number": "1568359388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 E EAGLE NEST WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851431239",
            "telephone_number": "480-490-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 E EAGLE NEST WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851431239",
            "telephone_number": "480-490-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A",
        "authorized_official_last_name": "HUBBARTT",
        "authorized_official_first_name": "KASSIDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUND & CEO",
        "authorized_official_telephone_number": "480-490-5509",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; 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.