Organization Active NPI

Hacienda de Contenido, Inc

  • Community/Behavioral Health Agency
  • Chino Valley, AZ
National Provider Identifier
1881924736
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LBSW0290 Issued in AZ
Legal business name
HACIENDA DE CONTENIDO, INC
Practice address
520 Sycamore Vista Dr
Chino Valley, AZ 86323-5842
Phone
(928) 830-2222
Fax
(928) 583-0376
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Kathleen M Reyes, M.A.
Title
Ceo/Clinical Director
Phone
(928) 830-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LBSW0290 AZ Primary

Addresses

Primary practice location

520 Sycamore Vista Dr
Chino Valley, AZ 86323-5842

Mailing address

520 N Sycamore Vista Dive
Chino Valley, AZ 86323
Phone (928) 830-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1881924736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N SYCAMORE VISTA DIVE",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-830-2222",
            "fax_number": "928-583-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SYCAMORE VISTA DR",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235842",
            "telephone_number": "928-830-2222",
            "fax_number": "928-583-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACIENDA DE CONTENIDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "928-830-2222",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LBSW0290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.