NPIMap

Organization Active NPI

Park Place Outreach & Counseling Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Arizona City, AZ
National Provider Identifier
1578009759
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PARK PLACE OUTREACH & COUNSELING CENTERS, INC.
Practice address
15136 S Avalon Rd
Arizona City, AZ 85123
Phone
(520) 466-8850
Fax
(520) 466-8851
NPI assigned
Jan 12, 2017
Organization subpart
Yes
Parent organization
PARK PLACE OUTREACH & COUNSELING CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Mr. Raymond Earnest Linafelter
Title
Executive Director
Phone
(520) 466-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

15136 S Avalon Rd
Arizona City, AZ 85123

Mailing address

P.O. Box 2779
Arizona City, AZ 85123
Phone (520) 466-8850

Other names 1

  • Casa De Vida Other name

National Provider Directory

National Provider Directory
Tax ID family
PK PL Outreach Counseling5 organizations share this tax ID, including this one
Part of
PK PL Outreach Counseling

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1578009759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2779",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85123",
            "telephone_number": "520-466-8850",
            "fax_number": "520-466-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15136 S AVALON RD",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85123",
            "telephone_number": "520-466-8850",
            "fax_number": "520-466-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE OUTREACH & COUNSELING CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK PLACE OUTREACH & COUNSELING CENTERS, INC.",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "LINAFELTER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-466-8850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa De Vida",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arizona City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.