NPIMap

Organization Active NPI

Saguaro Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Yuma, AZ
National Provider Identifier
1992998348
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SAGUARO FOUNDATION
Practice address
1495 S 4TH Ave
Yuma, AZ 85364-4603
Phone
(928) 783-6069
Fax
(928) 782-0061
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mr. Michael Kerry Van Guilder, M.S.
Title
Executive Director
Phone
(928) 783-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X AZ Primary

Addresses

Primary practice location

1495 S 4TH Ave
Yuma, AZ 85364-4603

Mailing address

1495 S 4TH Ave
Yuma, AZ 85364-4603
Phone (928) 783-6069

National Provider Directory

National Provider Directory
Tax ID family
Saguaro Foundation Community Living Programs7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1992998348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644603",
            "telephone_number": "928-783-6069",
            "fax_number": "928-782-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644603",
            "telephone_number": "928-783-6069",
            "fax_number": "928-782-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "VAN GUILDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-783-6069",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.