PASADERA BEHAVIORAL HEALTH NETWORK, INC. (NPI# 1114286788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114286788 |
| Entity Type | Organization |
| Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Other Organization Name | DESERT HOPE OUTPATIENT SERVICES |
| Practice Address |
2499 E. Ajo Way Tucson AZ 85713-5478 |
| Mailing Address |
2700 S 8th Ave Tucson AZ 85713-4730 |
| Practice Telephone | 5206188701 |
| Practice Fax Number | 5203279817 |
| Mailing Telephone | 5206283400 |
| Mailing Fax Number | 5206283401 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2015-08-13 |
| Authorized Official Name | STEPHANIE OLIVER (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Telephone | 5206283400 |
| Authorized Official Credential | CPC, RMM, ICD10C |
| Is Organization Subpart | Y |
| Parent Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OTC6555 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 707235 | 05 | |
| AZ | STATE LICENSE | OTC6555 | 01 |
| Other Name | Type Code |
|---|---|
| Desert Hope Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922488907 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15390 W Ajo Hwy, Tucson, AZ 85735-2023 | 2015-06-04 |
| 1396164455 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 275 W. Continental Rd., Suite 141, Green Valley, AZ 85622-3666 | 2014-04-15 |
| 1295157972 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 1260 S. Campbell Rd., Building 2, Green Valley, AZ 85614-0503 | 2014-01-14 |
| 1639591670 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 15921 W. Ajo Highway, Tucson, AZ 85735-2032 | 2014-01-10 |
| 1770790172 | Pasadera Behavioral Health Network, Inc. | Community/Behavioral Health | 2700 S 8th Ave, Tucson, AZ 85713-4730 | 2007-05-16 |
| 1053524348 | Pasadera Behavioral Health Network, Inc. | Clinic/Center | 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 | 2007-05-07 |
| 1225140643 | Pasadera Behavioral Health Network, Inc. | Special Hospital | 2499 E. Ajo Way, Tucson, AZ 85713-6202 | 2006-08-31 |
| 1114039492 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2950 N Dodge Blvd, Tucson, AZ 85716-2012 | 2006-08-31 |
| 1609229574 | Pasadera Behavioral Health Network, Inc. | Substance Abuse Rehabilitation Facility | 2502 N Dodge Blvd Ste 190, Tucson, AZ 85716-2675 | 2016-07-15 |
| 1457746497 | Pasadera Behavioral Health Network, Inc. | Rehabilitation, Substance Use Disorder Unit | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-04-06 |
| Street Address |
2499 E. AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-5478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225140643 | Pasadera Behavioral Health Network, Inc. | Special Hospital | 2499 E. Ajo Way, Tucson, AZ 85713-6202 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
| 1154826527 | Villa Maria Care Center, LLC | Substance Abuse Rehabilitation Facility | 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 | 2018-03-28 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| 1649686106 | Southwest Sober Living, LLC | Substance Abuse Rehabilitation Facility | 330 W Los Altos Rd, Tucson, AZ 85704-5671 | 2014-07-06 |
| 1669886370 | The Villas | Substance Abuse Rehabilitation Facility | 6849 S Tackweed Way, Tucson, AZ 85756-5141 | 2014-06-20 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1336434364 | Transitional Living Corporation | Substance Abuse Rehabilitation Facility | 1313 S. Venice Ave, Tucson, AZ 85712-3935 | 2011-06-17 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.