BANSA HOUSE LLC (NPI# 1144796681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144796681 |
| Entity Type | Organization |
| Organization Name | BANSA HOUSE LLC |
| Practice Address |
7225 E Stella Rd Tucson AZ 85730-2336 |
| Mailing Address |
6788 S Sonoran Bloom Ave Tucson AZ 85756-3040 |
| Practice Telephone | 5208910513 |
| Mailing Telephone | 5208910513 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | AGENDIA TAKU (MEMBER) |
| Authorized Official Telephone | 5203889814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
7225 E STELLA RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047435 | Sarah Mcmillan Counseling Pllc | Community/Behavioral Health | 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 | 2020-09-14 |
| 1851902274 | Connections Counseling Inc | Community/Behavioral Health | 450 E Navajo Rd, Tucson, AZ 85705-3939 | 2020-08-10 |
| 1619503224 | Willingness Counseling Pllc | Community/Behavioral Health | 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 | 2020-03-14 |
| 1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
| 1053877639 | Getaway Advanced Services LLC | Community/Behavioral Health | 3780 E Felix Blvd, Tucson, AZ 85706-1926 | 2019-02-19 |
| 1255815577 | Jane St. Perre | Community/Behavioral Health | 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 | 2018-09-21 |
| 1225519416 | The University of Arizona | Community/Behavioral Health | 4210 N Campbell Ave, Tucson, AZ 85719-1109 | 2018-08-24 |
| 1497244214 | Sage Counseling, Inc. | Community/Behavioral Health | 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 | 2018-05-07 |
| 1316440241 | Rob Zonfrelli Counseling LLC | Community/Behavioral Health | 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 | 2018-03-16 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on BANSA HOUSE LLC.
| 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.