1417346701 NPI number — HELPING OURSELVES PURSUE ENRICHMENT, INC.

Table of content: (NPI 1417346701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417346701 NPI number — HELPING OURSELVES PURSUE ENRICHMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING OURSELVES PURSUE ENRICHMENT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417346701
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 N COUNTRY CLUB RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85716-3625
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-770-1197
Provider Business Mailing Address Fax Number:
520-207-3855

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
791 S 4TH AVE STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YUMA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85364-3067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-783-3616
Provider Business Practice Location Address Fax Number:
520-207-3855
Provider Enumeration Date:
01/09/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KING
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
520-496-6310

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 006758 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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