Organization Active NPI

BNR Corporation

  • Assisted Living Facility
  • Cottonwood, AZ
National Provider Identifier
1790069870
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL5008C Issued in AZ
Legal business name
BNR CORPORATION
Practice address
22 S 7TH St
Cottonwood, AZ 86326-5440
Phone
(928) 639-3860
Fax
(928) 649-0410
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mrs. Barbara Ann Donahue
Title
Facility Manager
Phone
(928) 639-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL5008C AZ Primary

Addresses

Primary practice location

22 S 7TH St
Cottonwood, AZ 86326-5440

Mailing address

22 S 7TH St
Cottonwood, AZ 86326-5440
Phone (928) 639-3860

Other identifiers 1

IdentifierTypeStateIssuer
262760OtherAZAHCCCS

Other names 1

  • Carefree Assisted Living Center Doing business as

National Provider Directory

National Provider Directory

Locations

22 S 7th St
Cottonwood, AZ 86326
Phone (928) 639-3860

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1790069870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S 7TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265440",
            "telephone_number": "928-639-3860",
            "fax_number": "928-649-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S 7TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265440",
            "telephone_number": "928-639-3860",
            "fax_number": "928-649-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "928-639-3860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL5008C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "262760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carefree Assisted Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.