NPIMap

Organization Active NPI

Resilient Health, Inc.

Doing business as Resilient Health

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1568765436
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESILIENT HEALTH, INC.
Doing business as
Resilient Health
Practice address
1314 S 4TH Ave
Suite B
Yuma, AZ 85364-4658
Phone
(602) 995-1767
Fax
(602) 443-1005
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kimberly Quiros
Title
Coo
Phone
(602) 995-1767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X BH-3869 AZ
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1314 S 4TH Ave
Suite B
Yuma, AZ 85364-4658

Mailing address

2255 W Northern Ave
Suite B100
Phoenix, AZ 85021-4936
Phone (602) 995-1767

Other identifiers 1

IdentifierTypeStateIssuer
584223MedicaidAZ

Other names 1

  • Resilient Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Resilient Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1314 S 4th Ave
Ste B
Yuma, AZ 85364

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1568765436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 W NORTHERN AVE",
            "address_2": "SUITE B100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214936",
            "telephone_number": "602-995-1767",
            "fax_number": "602-443-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S 4TH AVE",
            "address_2": "SUITE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644658",
            "telephone_number": "602-995-1767",
            "fax_number": "602-443-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "QUIROS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-995-1767"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "BH-3869",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584223",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 20, 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.