Organization Active NPI

Continence Center of America Inc

  • Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1700809787
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CONTINENCE CENTER OF AMERICA INC
Practice address
13000 N 103Rd Ave Ste 73
Sun City, AZ 85351-3056
Phone
(623) 977-1212
Fax
(623) 875-1815
NPI assigned
Jul 25, 2006
Last updated
Mar 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Mr. Joel J Rosen
Title
Owner
Phone
(623) 977-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

13000 N 103Rd Ave Ste 73
Sun City, AZ 85351-3056

Mailing address

PO Box 54459
Phoenix, AZ 85078-4459
Phone (623) 977-1212

Other practice location 1

2830 E Brown Rd Ste C-12
Mesa, AZ 85213-5430
Phone (623) 977-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000999 AZ Part B Supplier - Clinic/Group Practice 6406834886 Receives reassigned benefits from 3 practitioners
Practice locations: Mesa, AZ; Sun City, AZ

National Provider Directory

National Provider Directory

Locations

2830 E Brown Rd
Ste 12
Mesa, AZ 85213
Phone (623) 977-1212

2830 E Brown Rd
Ste C12
Mesa, AZ 85213
Phone (623) 977-1212

13460 N 94th Dr
Ste M2
Peoria, AZ 85381

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1700809787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54459",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850784459",
            "telephone_number": "623-977-1212",
            "fax_number": "623-875-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N 103RD AVE STE 73",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513056",
            "telephone_number": "623-977-1212",
            "fax_number": "623-875-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 E Brown Rd Ste C-12",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852135430",
            "country_code": "US",
            "telephone_number": "623-977-1212",
            "fax_number": "623-875-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONTINENCE CENTER OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-977-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.