Organization Active NPI

Innerg Homes LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Florence, AZ
National Provider Identifier
1710720511
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
INNERG HOMES LLC
Practice address
13053 E Marigold LN
Florence, AZ 85132-7811
Phone
(602) 672-2066
NPI assigned
Jun 18, 2024
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Daviana Corder
Title
Administrator
Phone
(602) 672-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

13053 E Marigold LN
Florence, AZ 85132-7811

Mailing address

13053 E Marigold LN
Florence, AZ 85132-7811
Phone (602) 672-2066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1710720511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13053 E MARIGOLD LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327811",
            "telephone_number": "602-672-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13053 E MARIGOLD LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327811",
            "telephone_number": "602-672-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERG HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "DAVIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-672-2066"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.