Open Inn, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A6 Issued in AZ

Legal business name

OPEN INN, INC

Practice address

721 North Gonzales Boulevard
Huachuca City, AZ 85616-4338

Phone

(520) 456-1000

Fax

(520) 456-1323

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Panico, MBA

Title

Executive Director

Phone

(520) 670-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Open Inn 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.

• Open Inn, Inc

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1013124262
  NPD tax ID

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811100720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5766",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857030766",
            "telephone_number": "520-670-9040",
            "fax_number": "520-670-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NORTH GONZALES BOULEVARD",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856164338",
            "telephone_number": "520-456-1000",
            "fax_number": "520-456-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN INN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANICO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-670-9040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "A6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS #",
            "identifier": "837461",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jane Louise Lorenz, LCSW
• Angela Moyer
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• Sarah Smeal
• Dolores Inez Smith, SLPA
• Therapeuo Health
• Elizabeth L Vath

• Community/Behavioral Health Agency in Huachuca City, AZ
• Providers in Huachuca City, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.