NPIMap

Organization Active NPI

Lazy Horse Ranch Inc

  • Community/Behavioral Health Agency
  • Sierra Vista, AZ
National Provider Identifier
1609198571
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSA09ADHS0188 Issued in AZ
Legal business name
LAZY HORSE RANCH INC
Practice address
675 Giulio Cesare Ave
Sierra Vista, AZ 85635-2564
Phone
(520) 826-2206
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mrs. Ann M Supplee, BHT
Title
Director/Owner
Phone
(520) 826-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSA09ADHS0188 AZ Primary

Addresses

Primary practice location

675 Giulio Cesare Ave
Sierra Vista, AZ 85635-2564

Mailing address

3651 E Doe Ranch Rd
Pearce, AZ 85625-6002
Phone (520) 826-2206

National Provider Directory

National Provider Directory
Tax ID family
Lazy Horse Ranch3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1609198571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 E DOE RANCH RD",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856256002",
            "telephone_number": "520-826-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 GIULIO CESARE AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352564",
            "telephone_number": "520-826-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZY HORSE RANCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "SUPPLEE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "520-826-2206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BHT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA09ADHS0188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.