Organization Active NPI

Winr Women in New Recovery

  • Substance Abuse Rehabilitation Facility
  • Mesa, AZ
National Provider Identifier
1669781324
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-3591 Issued in AZ
Legal business name
WINR WOMEN IN NEW RECOVERY
Doing business as
Amazing Recovery
Practice address
860 N Center St
Mesa, AZ 85201-4201
Phone
(480) 464-5764
Fax
(480) 834-5372
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Patricia Henderson
Title
Ceo
Phone
(480) 464-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH-3591 AZ Primary

Addresses

Primary practice location

860 N Center St
Mesa, AZ 85201-4201

Mailing address

860 N. Center Street
Mesa, AZ 85201
Phone (480) 464-5764

Other identifiers 1

IdentifierTypeStateIssuer
160168MedicaidAZ

Other names 1

  • Amazing Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1669781324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 N. CENTER STREET",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-464-5764",
            "fax_number": "480-834-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 N CENTER ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014201",
            "telephone_number": "480-464-5764",
            "fax_number": "480-834-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINR WOMEN IN NEW RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-464-5764"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-3591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160168",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.