Coldwater Springs Healthcare, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

COLDWATER SPRINGS HEALTHCARE, INC.

Doing business as

Estrella Outpatient Treatment Center

Practice address

350 E la Canada Blvd
Avondale, AZ 85323-1643

Phone

(623) 932-2282

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 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

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Estrella Outpatient Treatment Center Doing business as

Tax ID family

Coldwater Springs Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coldwater Springs Healthcare, Inc.

  dba Estrella Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Avondale, AZ
  • NPI 1720745664
  NPD tax ID

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1730860099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E LA CANADA BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231643",
            "telephone_number": "623-932-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER SPRINGS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estrella Outpatient Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Clem
• Jennifer Cobb-Dunn
• Cory Coffey
• Teeonna Coldcleugh, BCBA
• Coldwater Springs Healthcare, Inc. (Estrella Health and Rehabilitation Center)
• Jeffrey Max Collins, D.D.S.
• Collision Chiropractic LLC
• Lauren Colon
• Jenna Colwell, DO
• Donna L Combs, LAC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.