Organization Active NPI

Department of Economic Security

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1669653150
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEPARTMENT OF ECONOMIC SECURITY
Practice address
1789 W Jefferson St
Site Code 086Z
Phoenix, AZ 85007-3202
Phone
(602) 542-6600
Fax
(602) 542-6400
NPI assigned
Nov 26, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Ms. Tracy Wareing
Title
Director
Phone
(602) 542-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1789 W Jefferson St
Site Code 086Z
Phoenix, AZ 85007-3202

Mailing address

1789 W Jefferson St
Site Code 086Z
Phoenix, AZ 85007-3202
Phone (602) 542-6600

Other names 1

  • Refugee Medical Assistance Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Division of Developmental Disabilities32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

1789 W Jefferson St
#86Z
Phoenix, AZ 85007
Phone (602) 542-6600

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1669653150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 W JEFFERSON ST",
            "address_2": "SITE CODE 086Z",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073202",
            "telephone_number": "602-542-6600",
            "fax_number": "602-542-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 W JEFFERSON ST",
            "address_2": "SITE CODE 086Z",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073202",
            "telephone_number": "602-542-6600",
            "fax_number": "602-542-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF ECONOMIC SECURITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "WAREING",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-542-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refugee Medical Assistance Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.