NPIMap

Organization Active NPI

Adobe Care and Wellness New Mexico LLC

  • Case Management Agency
  • Tempe, AZ
National Provider Identifier
1922716703
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADOBE CARE AND WELLNESS NEW MEXICO LLC
Practice address
4041 S McClintock Dr
Tempe, AZ 85282-5879
Phone
(480) 339-1780
Fax
(602) 357-4604
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Jayme Ambrose
Title
Ceo
Phone
(480) 339-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4041 S McClintock Dr
Tempe, AZ 85282-5879

Mailing address

4041 S McClintock Dr
Tempe, AZ 85282-5879
Phone (480) 339-1780

Other identifiers 1

IdentifierTypeStateIssuer
479183MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4041 S McClintock Dr
Tempe, AZ 85282
Phone (520) 233-7111

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1922716703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "480-339-1780",
            "fax_number": "602-357-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "480-339-1780",
            "fax_number": "602-357-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE CARE AND WELLNESS NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "JAYME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-339-1780"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479183",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.