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CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA NPI 1316263643


NPI Information

NPI: 1316263643
Provider Name: CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA

Doing Business As: MERILAC LODGE

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
140 W SPEEDWAY BLVD
SUITE 130
TUCSON, AZ
ZIP 85705
Phone: (520) 623-0344
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CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA is a custodial care facility in Tucson, AZ. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA NPI is 1316263643. The provider is registered as an organization entity type.
The provider Is Doing Business As Merilac Lodge.

The provider's business location address is:

140 W SPEEDWAY BLVD
SUITE 130
TUCSON, AZ
ZIP 85705-686
Phone: (520) 623-0344
Fax: (520) 770-8578

The provider's authorized official is Mary Anne Bogosoff .
The authorized official title is Program Director and has the following contact phone number (520) 770-8517.

The enumeration date for this NPI number is 4/12/2010 and was last updated on 4/12/2010.


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
1311Z00000XCustodial Care FacilityBH914ARIZONAYes

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
1588973OTHERARIZONAAHCCS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.