CHICANOS POR LA CAUSA, INC. – NPI #1083711360
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CHICANOS POR LA CAUSA, INC. is a community based residential treatment facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1083711360 to CHICANOS POR LA CAUSA, INC. on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHICANOS POR LA CAUSA, INC. is also known by the name CORAZON. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Jun 23, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICANOS POR LA CAUSA, INC. below.

NPI Profile for
CHICANOS POR LA CAUSA, INC.

NPI Number
1083711360
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHICANOS POR LA CAUSA, INC.
Other Name: CORAZON
Primary location
3639 W. LINCOLN ST.
PHOENIX, AZ 85009
Phone: (602) 233-9747 Fax: (602) 352-5989
Mailing address
1112 E. BUCKEYE RD.
PHOENIX, AZ 85034
Phone: (602) 257-0700 Fax: (602) 307-9752
Organization Subpart
Yes - CHICANOS POR LA CAUSA, INC. is subpart of another organization.
Authorized Official
ANDRES CONTRERAS
EXECUTIVE VICE PRESIDENT OFFICER
Phone: (602) 257-0700
Updated
Certification Date
Jun 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHICANOS POR LA CAUSA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEAZBH-0008
MEDICAIDAZ590978
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
AZ BH-0008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.