Organization Active NPI

Certitude Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Peoria, AZ
National Provider Identifier
1952855736
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CERTITUDE GROUP LLC
Practice address
8155 W Thunderbird Rd
Peoria, AZ 85381-4159
Phone
(480) 540-4130
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Mrs. Rhondalen Jae Krenzelok
Title
Executive Director
Phone
(480) 540-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

8155 W Thunderbird Rd
Peoria, AZ 85381-4159

Mailing address

9319 W Hatcher Rd
Peoria, AZ 85345-6312
Phone (602) 301-9447

National Provider Directory

National Provider Directory

Locations

8155 W Thunderbird Rd
Peoria, AZ 85381
Phone (480) 540-4130

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1952855736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9319 W HATCHER RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456312",
            "telephone_number": "602-301-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814159",
            "telephone_number": "480-540-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTITUDE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "KRENZELOK",
        "authorized_official_first_name": "RHONDALEN",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-540-4130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.