INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. NPI 1518055953

NPI Information

  • NPI: 1518055953
  • Provider Name: INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: AIC SUNRISE
  • CLIA Number: 03D2263793
  • Address: 8571 E TANQUE VERDE RD
    TUCSON, AZ
    ZIP 85749
  • Phone: (520) 721-1887

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NPI Details

INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. 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. INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. NPI is 1518055953. The provider is registered as an organization entity type.
The provider Other Name Is Aic Sunrise.

The provider's business location address is:

8571 E TANQUE VERDE RD
TUCSON, AZ
ZIP 85749-917
Phone: (520) 721-1887
Fax: (520) 760-2481

The provider's authorized official is Rose Mary Lopez .
The authorized official title is President And Ceo and has the following contact phone number (520) 721-1887.

The CLIA number assigned to this NPI record is 03D2263793 - other - res treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 10/9/2020.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH1012ARIZONAYes

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
1BH1618OTHERARIZONASTATE LICENSE
2462573MEDICAIDARIZONA

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: 3/30/2025

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