JEAN GASORE NPI 1194588293

NPI Information

  • NPI: 1194588293
  • Provider Name: JEAN GASORE
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Individual
  • Address: 9840 E CELESTE DR
    TUCSON, AZ
    ZIP 85730
  • Phone: (520) 339-1149

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NPI Details

Jean Gasore is a community based residential treatment facility mental illness in Tucson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Jean Gasore NPI is 1194588293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9840 E CELESTE DR
TUCSON, AZ
ZIP 85730-037
Phone: (520) 339-1149

The enumeration date for this NPI number is 2/1/2024 and was last updated on 5/1/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite CareBH9657ARIZONANo
2320800000XCommunity Based Residential Treatment Facility, Mental IllnessBH9657ARIZONAYes

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: 11/21/2025

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