NPIMap

Organization Active NPI

Catholic Community Services Yuma

Doing business as Yuma Senior Nutrition

  • Home Delivered Meals
  • Yuma, AZ
National Provider Identifier
1770095143
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
CATHOLIC COMMUNITY SERVICES YUMA
Doing business as
Yuma Senior Nutrition
Practice address
160 E 1St St
Yuma, AZ 85364-1404
Phone
(928) 782-1105
NPI assigned
Oct 25, 2017
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Eva Jasso Mendez-Counts
Title
Executive Director
Phone
(928) 341-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

160 E 1St St
Yuma, AZ 85364-1404

Mailing address

690 E 32ND St
Yuma, AZ 85365-3437
Phone (928) 341-9400

Other names 1

  • YUMA SENIOR NUTRITION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services - Sierra Vista11 organizations share this tax ID, including this one
Part of
Catholic Community Services - Sierra Vista

Other organizations with this tax ID 10

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

Locations

160 E 1st St
Yuma, AZ 85364
Phone (928) 782-1105

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1770095143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653437",
            "telephone_number": "928-341-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 1ST ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641404",
            "telephone_number": "928-782-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES YUMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-COUNTS",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "JASSO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-341-9400"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUMA SENIOR NUTRITION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.