NPIMap

Organization Active NPI

Phoenix Residential Reentry and Community Reintegration Resource Cente

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1679944789
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PHOENIX RESIDENTIAL REENTRY AND COMMUNITY REINTEGRATION RESOURCE CENTE
Practice address
2274 E Sahuaro Dr
Phoenix, AZ 85028-3117
Phone
(602) 736-7383
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Brenda Santos, ACCOUNTANT
Title
Director
Phone
(602) 697-1489

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X AZ

Addresses

Primary practice location

2274 E Sahuaro Dr
Phoenix, AZ 85028-3117

Mailing address

2274 E Sahuaro Dr
Phoenix, AZ 85028-3117
Phone (602) 736-7383

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1679944789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 E SAHUARO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283117",
            "telephone_number": "602-736-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 E SAHUARO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283117",
            "telephone_number": "602-736-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESIDENTIAL REENTRY AND COMMUNITY REINTEGRATION RESOURCE CENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-697-1489",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 14, 2015; 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.