Organization Active NPI

Yuma Accountable Care Organization, LLC

  • Case Management Agency
  • Phoenix, AZ
National Provider Identifier
1821363631
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YUMA ACCOUNTABLE CARE ORGANIZATION, LLC
Practice address
3030 N Central Ave
Suite 1405
Phoenix, AZ 85012-2707
Phone
(602) 265-2524
Fax
(602) 265-3289
NPI assigned
Mar 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Ms. Constance Irene Richardson
Title
Executive Director
Phone
(602) 265-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3030 N Central Ave
Suite 1405
Phoenix, AZ 85012-2707

Mailing address

3030 N Central Ave
Suite 1405
Phoenix, AZ 85012-2707
Phone (602) 265-2524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1821363631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE",
            "address_2": "SUITE 1405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122707",
            "telephone_number": "602-265-2524",
            "fax_number": "602-265-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE",
            "address_2": "SUITE 1405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122707",
            "telephone_number": "602-265-2524",
            "fax_number": "602-265-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA ACCOUNTABLE CARE ORGANIZATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-265-2524",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.