PINAL HISPANIC COUNCIL (NPI# 1720185903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720185903 |
| Entity Type | Organization |
| Organization Name | PINAL HISPANIC COUNCIL |
| Practice Address |
556 S Arizona Blvd Ste A Coolidge AZ 85228-5103 |
| Mailing Address |
Po Box 86537 Tucson AZ 85754-6537 |
| Practice Telephone | 5204667765 |
| Practice Fax Number | 5204664475 |
| Mailing Telephone | 5207211887 |
| Mailing Fax Number | 5207210069 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. RALPH VARELA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5204667765 |
| Authorized Official Credential | CISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH-889 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 164567 | 01 |
| AZ | ADHS/BMFL LICENSE | OTC6003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899373 | Pinal Hispanic Council | Community/Behavioral Health | 1930 E 11th St, Douglas, AZ 85607-2413 | 2014-03-20 |
| 1841592078 | Pinal Hispanic Council | Community/Behavioral Health | 275 N Grand Court Plz, Nogales, AZ 85621-2744 | 2010-11-19 |
| 1225362817 | Pinal Hispanic Council | Community/Behavioral Health | 330 N Picacho St, Casa Grande, AZ 85122-5249 | 2009-09-29 |
| 1588966717 | Pinal Hispanic Council | Community/Behavioral Health | 1940 E 11th St, Douglas, AZ 85607-2413 | 2010-11-19 |
| 1285941344 | Pinal Hispanic Council | Community/Behavioral Health | 712 N Main St, Eloy, AZ 85131-2037 | 2010-09-09 |
| Street Address |
556 S ARIZONA BLVD STE A |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85228-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710130059 | Arizona Training Program @coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-10-30 |
| 1285824409 | Rasha Kumar | Optometrist | 1695 North Arizona Boulevard, Coolidge, AZ 85228 | 2007-07-25 |
| 1083825780 | Sandra Y Barkyoumb | Occupational Therapist | 2800 Highway 87, Coolidge, AZ 85228 | 2007-05-24 |
| 1033321989 | Sun Life Family Health Center, Inc. | Clinic/Center | 1284 North Arizona Road, Coolidge, AZ 85228 | 2007-05-04 |
| 1417982059 | Dental Care Inc | Dentist | 417 W Central Avenue, Suite A, Coolidge, AZ 85228 | 2006-07-12 |
| 1639323082 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1528212974 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1992959340 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1194979542 | Arizona Training Program At Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1982858338 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| Find all providers in zip 85228 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1417151606 | Bcm Healthcare Services | Community/Behavioral Health | 204 W Central Ave, Coolidge, AZ 85228-4705 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1558968099 | Seed Sower LLC | Community/Behavioral Health | 11526 W Bloomfield Rd, El Mirage, AZ 85335-3916 | 2020-10-07 |
| 1306443171 | Essential Health Services, LLC | Community/Behavioral Health | 2112 E Sanoque Ct, Gilbert, AZ 85298-6117 | 2020-10-05 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| 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.