NPIMap

Organization Active NPI

La Posada at Park Centre Inc

  • Adult Day Care Clinic/Center
  • Green Valley, AZ
National Provider Identifier
1730466962
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LA POSADA AT PARK CENTRE INC
Practice address
780 S Park Centre Ave
Green Valley, AZ 85614-5127
Phone
(520) 625-2273
NPI assigned
Nov 16, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Steven Kolnacki
Title
Dir. of Healthcare Services
Phone
(520) 648-8380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X AL0553D AZ
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

780 S Park Centre Ave
Green Valley, AZ 85614-5127

Mailing address

780 S Park Centre Ave
Green Valley, AZ 85614-5127
Phone (520) 625-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120204000012 AZ Part B Supplier - Clinic/Group Practice 1153325410 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Green Valley, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

780 S Park Centre Ave
Green Valley, AZ 85614
Phone (520) 625-2273

Practitioners & affiliated clinicians

Practitioners 4

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": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730466962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S PARK CENTRE AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145127",
            "telephone_number": "520-625-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S PARK CENTRE AVE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145127",
            "telephone_number": "520-625-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA POSADA AT PARK CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KOLNACKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIR. OF HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "520-648-8380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AZ",
            "license": "AL0553D",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.