Corazon Integrated Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC6641 Issued in AZ

Legal business name

CORAZON INTEGRATED HEALTHCARE SERVICES

Practice address

900 E Florence Blvd
Suite G
Casa Grande, AZ 85122-4666

Phone

(520) 836-4278

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tricia Foster, MSW, LISAC

Title

Ceo

Phone

(520) 836-4278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1649657412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD",
            "address_2": "SUITE G",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224666",
            "telephone_number": "520-836-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E FLORENCE BLVD",
            "address_2": "SUITE G",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224666",
            "telephone_number": "520-836-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON INTEGRATED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-836-4278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakiesha Staci-Lee Cooper, MPH, BIRTH DOULA
• Robert Paul Cooper, DO
• Alicia C Copeland, PNP
• Copper Canyon Recovery Group
• Corazon Inc. (Corazon Behavioral Health Services)
• Naomi R Cordova, PH.D.
• Suzette Cordova
• Cornerstone Caregiving West LLC
• Fernando Cortes
• Jose Cortez

• Community/Behavioral Health Agency in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.