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CASA DE TUCSON LLC NPI 1063749521


NPI Information

NPI: 1063749521
Provider Name: CASA DE TUCSON LLC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
5055 W PIMA FARMS RD
TUCSON, AZ
ZIP 85741
Phone: (520) 572-0404
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CASA DE TUCSON LLC is a residential treatment facility emotionally disturbed children in Tucson, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CASA DE TUCSON LLC NPI is 1063749521. The provider is registered as an organization entity type.

The provider's business location address is:

5055 W PIMA FARMS RD
TUCSON, AZ
ZIP 85741-736
Phone: (520) 572-0404

The provider's authorized official is Anne N Howarth .
The authorized official title is Owner/ Administrator and has the following contact phone number (520) 572-0404.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH-3098ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BH-3098OTHERARIZONADEPT OF HEALTH SERVICES LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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