NPIMap

Organization Active NPI

Arizona Community Development Corp

  • Local Education Agency (LEA)
  • Tucson, AZ
National Provider Identifier
1710170550
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ARIZONA COMMUNITY DEVELOPMENT CORP
Practice address
2050 N Wilmot Rd
Tucson, AZ 85712-3039
Phone
(520) 721-4205
Fax
(520) 721-4263
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Mrs. Raena Janes
Title
Director
Phone
(520) 721-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

2050 N Wilmot Rd
Tucson, AZ 85712-3039

Mailing address

2050 N Wilmot Rd
Tucson, AZ 85712-3039
Phone (520) 721-4205

Other identifiers 1

IdentifierTypeStateIssuer
812512MedicaidAZ

Other names 1

  • LaPaloma Academy Doing business as

National Provider Directory

National Provider Directory

Locations

2050 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 721-4205

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1710170550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123039",
            "telephone_number": "520-721-4205",
            "fax_number": "520-721-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123039",
            "telephone_number": "520-721-4205",
            "fax_number": "520-721-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COMMUNITY DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "JANES",
        "authorized_official_first_name": "RAENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-721-4205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812512",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaPaloma Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.