Direct Connect Ventures

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIRECT CONNECT VENTURES

Practice address

5010 E. Warner Rd.
Ste. 111
Ahwatukee, AZ 85044-3354

Phone

(480) 245-6066

NPI assigned

Jul 2, 2014

Last updated

Jul 29, 2020By 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

Mr. Ivory Kaimaron Price

Title

Ceo

Phone

(520) 371-3782

Specialties & licenses 6

Addresses

Tax ID family

Direct Connect Ventures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Direct Connect Ventures

  dba Price Family Services

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1295123164
  NPD tax ID

Locations

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1669888368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E BASELINE RD STE 148-473",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426951",
            "telephone_number": "520-371-3782",
            "fax_number": "866-624-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E. WARNER RD.",
            "address_2": "STE. 111",
            "city": "AHWATUKEE",
            "state": "AZ",
            "postal_code": "850443354",
            "telephone_number": "480-245-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CONNECT VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "KAIMARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-371-3782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.