NPIMap

Organization Active NPI

Westcare Arizona I, Inc.

Doing business as Sage House

  • Children's Substance Abuse Rehabilitation Facility
  • Bullhead City, AZ
National Provider Identifier
1679800106
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
BH-3423 Issued in AZ
Legal business name
WESTCARE ARIZONA I, INC.
Doing business as
Sage House
Practice address
1800 Rio Vista Dr
Bullhead City, AZ 86442-7229
Phone
(928) 758-0603
Fax
(928) 758-0609
NPI assigned
Nov 4, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Ms. Tracy Stevens, MA
Title
Area Director
Phone
(928) 763-1945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X BH-3423 AZ Primary

Addresses

Primary practice location

1800 Rio Vista Dr
Bullhead City, AZ 86442-7229

Mailing address

821 Hancock Rd Ste 2
Bullhead City, AZ 86442-5034
Phone (928) 763-1945

Other names 1

  • Sage House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hildy's House3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1679800106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 HANCOCK RD STE 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425034",
            "telephone_number": "928-763-1945",
            "fax_number": "928-763-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RIO VISTA DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427229",
            "telephone_number": "928-758-0603",
            "fax_number": "928-758-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCARE ARIZONA I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "928-763-1945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "AZ",
            "license": "BH-3423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.