Cerco LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CERCO LLC

Practice address

13215 N Verde River Dr
Fountain Hills, AZ 85268-8308

Phone

(602) 622-3126

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By 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

Derrick Roberts

Title

Ceo

Phone

(602) 622-3126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1689371106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19480",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852699480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 N VERDE RIVER DR",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688308",
            "telephone_number": "602-622-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-622-3126"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Carroll, MS,CCC-SLP
• Loren K Carroll, PT
• Brielle Elise Casas, SLP
• Martin M Case Jr., BC-HIS ,ACA,COHC
• Emily Kate Catmull
• Loren Nicole Chamberlain
• Chris Chanthabandith, OTR/L
• Pippin Amber Chapman, CCC-SLP
• Rebecca Leigh Chapman, PT
• Reyna Chavez Amaya

• Contractor in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.