Organization Active NPI

La Posada at Park Centre Inc

Doing business as La Posada Outpatient Therapies

  • Rehabilitation Clinic/Center
  • Green Valley, AZ
National Provider Identifier
1932148475
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OTC 0533 Issued in AZ
Legal business name
LA POSADA AT PARK CENTRE INC
Doing business as
La Posada Outpatient Therapies
Practice address
700 S la Posada Cir
Green Valley, AZ 85614-5100
Phone
(520) 648-2200
NPI assigned
Jun 6, 2006
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Mr. Steven Kolnacki
Title
Administrator
Phone
(520) 648-8380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X OTC 0533 AZ Primary
Skilled Nursing Facility 314000000X NCI402 AZ

Addresses

Primary practice location

700 S la Posada Cir
Green Valley, AZ 85614-5100

Mailing address

700 S la Posada Cir
Green Valley, AZ 85614-5100

Other names 1

  • La Posada Outpatient Therapies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120204000012 AZ Part B Supplier - Clinic/Group Practice 1153325410 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Green Valley, AZ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1932148475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S LA POSADA CIR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S LA POSADA CIR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145100",
            "telephone_number": "520-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA POSADA AT PARK CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "KOLNACKI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-648-8380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "OTC 0533",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Posada Outpatient Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.