PEOPLE OF COLOR NETWORK (NPI# 1043240435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043240435 |
| Entity Type | Organization |
| Organization Name | PEOPLE OF COLOR NETWORK |
| Practice Address |
609 N 2nd Ave Phoenix AZ 85003-1653 |
| Practice Telephone | 6022533084 |
| Practice Fax Number | 6022533732 |
| Mailing Telephone | 6022533084 |
| Mailing Fax Number | 6022533732 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN ROMERO (CEO) |
| Authorized Official Telephone | 6022533084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | BH2585 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS GROUP BILLER | 960882 | 01 |
| AZ | AHCCCS PROVIDE NUMBER | 703547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706986 | People of Color Network | Clinic/Center | 77 E.thomas Road, Suite 230, Phoenix, AZ 85012-3100 | 2005-11-08 |
| 1396075156 | People of Color Network | Case Management | 4520 N Central Ave, Suite 555 and 565, Phoenix, AZ 85012-1828 | 2009-12-30 |
| 1235373960 | People of Color Network | Clinic/Center | 1300 N Central Ave, Phoenix, AZ 85004-1722 | 2009-04-24 |
| 1518101237 | People of Color Network | Clinic/Center | 310 S Extension Rd, Mesa, AZ 85210-1292 | 2009-04-24 |
| 1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
| 1881838514 | People of Color Network | Clinic/Center | 1540 W Van Buren St, Phoenix, AZ 85007-2414 | 2009-04-24 |
| Street Address |
609 N 2ND AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326497009 | Tamar Mull | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-06-03 |
| 1548618200 | Amanda Ruiz | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-06-02 |
| 1609222363 | William Calandra | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-05-11 |
| 1992150387 | Kayla Simmons | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-05-04 |
| 1508210006 | Misty Andersen-pitcher | Counselor | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-04-20 |
| 1144682055 | Darrel Long | Technician, Other | 609 N 2nd Ave, Sutie 200, Phoenix, AZ 85003-1653 | 2016-03-22 |
| 1932567757 | Anne Bello | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2016-02-08 |
| 1700243482 | Charlene Berg | Technician, Other | 609 N 2nd Ave, Phoenix, AZ 85003-1653 | 2016-01-26 |
| 1871967968 | Nicole Eastin | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2015-11-30 |
| 1407220908 | Autumn Hunziker | Technician, Other | 609 N 2nd Ave, Suite 200, Phoenix, AZ 85003-1653 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151546 | Community 43 LLC | Case Management | 4343 N 16th St, Phoenix, AZ 85016-5338 | 2020-10-12 |
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1265057962 | Semper Fidelis Behavioral Health Care, LLC | Case Management | 111 N Dupont Cir Unit 337, Phoenix, AZ 85034-1847 | 2020-06-09 |
| 1386267706 | The Adam Dixon Perseverance Foundation | Case Management | 5060 N 19th Ave # 300-14, Phoenix, AZ 85015-3210 | 2020-05-20 |
| 1861031486 | Maggie's Place | Case Management | 4001 N 30th St, Phoenix, AZ 85016-6810 | 2019-12-30 |
| 1568014397 | Beia's Place | Case Management | 7225 S 2nd Gln, Phoenix, AZ 85041-7142 | 2019-07-11 |
| 1275095432 | All About You Behavioral Health Center Inc | Case Management | 2920 N 24th Ave Ste 240, Phoenix, AZ 85015-5960 | 2019-04-04 |
| 1417413949 | Abel's House Inc. | Case Management | 1127 W Peoria Ave, Phoenix, AZ 85029-5984 | 2019-02-20 |
| 1801369632 | 1514 Bethany Home Management, LLC | Case Management | 1514 W Bethany Home Rd, Phoenix, AZ 85015-2504 | 2019-01-03 |
| 1083192215 | Dcc, Inc. Dba Kidney Dialysis Avoidance Program | Case Management | 22601 N 19th Ave Ste 230, Phoenix, AZ 85027-1362 | 2018-07-31 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on PEOPLE OF COLOR NETWORK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.