NPIMap

Organization Active NPI

Oak Street

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1679747026
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
BH-1903 Issued in AZ
Legal business name
OAK STREET
Practice address
2255 N 44TH St Ste 240
Phoenix, AZ 85008-7233
Phone
(602) 914-5859
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
VO OF ARIZONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Angelo Edge
Title
Cao
Phone
(602) 914-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X BH-1903 AZ Primary

Addresses

Primary practice location

2255 N 44TH St Ste 240
Phoenix, AZ 85008-7233

Mailing address

2255 N 44TH St Ste 240
Phoenix, AZ 85008-7233

Other identifiers 1

IdentifierTypeStateIssuer
805418MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Washington House8 organizations share this tax ID, including this one
Part of
Washington House

Other organizations with this tax ID 7

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

Locations

2255 N 44th St
Ste 240
Phoenix, AZ 85008
Phone (602) 914-5859

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1679747026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N 44TH ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N 44TH ST STE 240",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087233",
            "telephone_number": "602-914-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK STREET",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VO OF ARIZONA",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "602-914-5859"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "BH-1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 16, 2008; 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.