THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION NPI 1306567409

NPI Information

NPI: 1306567409
Provider Name: THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5541 E GRANT RD
TUCSON, AZ
ZIP 85712
Phone: (520) 704-8310
Get Directions

THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION is a rehabilitation and substance use disorder clinic center in Tucson, AZ. THE JOHN AND JOSEPHINE ROSE LIVING NETWORK FOUNDATION NPI is 1306567409. The provider is registered as an organization entity type.

The provider's business location address is:

5541 E GRANT RD
TUCSON, AZ
ZIP 85712-209
Phone: (520) 704-8310
Fax: (520) 848-3611

The provider's authorized official is James Joseph Rose .
The authorized official title is President/ceo and has the following contact phone number (520) 204-7958.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 9/7/2022.

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	Primary
1	251300000X	Local Education Agency (LEA)		No
2	251B00000X	Case Management		No
3	251E00000X	Home Health		No
4	251S00000X	Community/Behavioral Health		No
5	251V00000X	Voluntary or Charitable		No
6	252Y00000X	Early Intervention Provider Agency		No
7	261QC1500X	Clinic/Center	Community Health	No
8	261QH0100X	Clinic/Center	Health Service	No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
10	261QM0850X	Clinic/Center	Adult Mental Health	No
11	261QP2400X	Clinic/Center	Prison Health	No
12	343900000X	Non-emergency Medical Transport (VAN)		No
13	385H00000X	Respite Care		No
14	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	096451	MEDICAID	ARIZONA
2	HHA-00001	OTHER		BANNER UNIVERSITY FAMILY CARE UFC
3	095189	MEDICAID	ARIZONA
4	107487	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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