Center Street

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CENTER STREET

Practice address

5949 W Northern Ave Ste 201
Glendale, AZ 85301-7829

Phone

(323) 233-1675

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Nilah Emage Asy Jamie Quinones

Title

Owner

Phone

(323) 316-7585

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1790401388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 W RANCHO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 W NORTHERN AVE STE 201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017829",
            "telephone_number": "323-233-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "NILAH",
        "authorized_official_middle_name": "EMAGE ASY JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-316-7585"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.