NPIMap

Organization Active NPI

Prescott House Inc

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
National Provider Identifier
1962703991
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH-4262 Issued in AZ
Legal business name
PRESCOTT HOUSE INC
Practice address
214 N. Az Ave
Prescott, AZ 86301
Phone
(928) 776-8251
Fax
(928) 771-2024
NPI assigned
Nov 8, 2010
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Mr. Henry Dayton TurbervilleNPI 1982970034
Title
Executive Dir.
Phone
(928) 776-8251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH-264 AZ
Mental Illness Community Based Residential Treatment Facility 320800000X OTC-6470 AZ
Substance Abuse Rehabilitation Facility 324500000X BH-264 AZ
Substance Abuse Rehabilitation Facility 324500000X BH-4262 AZ Primary

Addresses

Primary practice location

214 N. Az Ave
Prescott, AZ 86301

Mailing address

214 N. Az Ave
Prescott, AZ 86301
Phone (928) 776-8251

National Provider Directory

National Provider Directory

Locations

214 N Arizona Ave
Prescott, AZ 86301
Phone (866) 424-2470

Practitioners & affiliated clinicians

Practitioners 6

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": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1962703991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N. AZ AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-776-8251",
            "fax_number": "928-771-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N. AZ AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-776-8251",
            "fax_number": "928-771-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "TURBERVILLE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DAYTON",
        "authorized_official_title_or_position": "EXECUTIVE DIR.",
        "authorized_official_telephone_number": "928-776-8251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-264",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "OTC-6470",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-264",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.