SUPPORTED LIVING SYSTEMS


Address: 5501 E 8th St, Tucson, AZ 85711-3209
Phone: 5205149878

SUPPORTED LIVING SYSTEMS (NPI# 1225187552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225187552
Entity Type Organization
Organization Name SUPPORTED LIVING SYSTEMS
Other Organization Name AZTEC HOUSE
Practice Address 5501 E 8th St
Tucson
AZ 85711-3209
Mailing Address 925 S Craycroft Rd
Tucson
AZ 85711-7112
Practice Telephone 5205149878
Mailing Telephone 5205149888
Mailing Fax Number 5205149878
Enumeration Date 2007-01-09
Last Update Date 2020-08-22
Authorized Official Name DR. RICHARD ECK (CEO)
Authorized Official Telephone 5205149888
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children BH-1727 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS PROVIDER # 490037 01
AZ AZ BEHAVIORAL LICENSE # BH-1727 01

Other Provider/Organization Names

Other Name Type Code
Aztec House Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265581516 Supported Living Systems Community Based Residential Treatment Facility, Mental Illness 4454 E 3rd St, Tucson, AZ 85711-1189 2007-01-09
1548319890 Supported Living Systems Residential Treatment Facility, Emotionally Disturbed Children 5626 E 2nd St, Tucson, AZ 85711-1415 2007-01-09
1093864340 Supported Living Systems Residential Treatment Facility, Emotionally Disturbed Children 5120 E Alberta Dr, Tucson, AZ 85711-3119 2007-01-09
1457400707 Supported Living Systems Community Based Residential Treatment Facility, Mental Illness 831 N Belvedere Ave, Tucson, AZ 85711-1191 2007-01-09
1396893707 Supported Living Systems Residential Treatment Facility, Emotionally Disturbed Children 5752 E Waverly St, Tucson, AZ 85712-3739 2007-01-08
1356499750 Supported Living Systems Community/Behavioral Health 925 S Craycroft Rd, Tucson, AZ 85711-7112 2007-01-08
1013065416 Supported Living Systems Residential Treatment Facility, Emotionally Disturbed Children 3327 E Broadway Blvd, Tucson, AZ 85716-5858 2007-01-08

Office Location

Street Address 5501 E 8TH ST
City TUCSON
State AZ
Zip Code 85711-3209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356959951 Ridgeline Practice Counselor 4625 N Broadway, Suite 105, Tucson, AZ 85711 2020-07-20
1881229946 Famiglia Amore II LLC Assisted Living Facility 632 N. Wilmot, Tucson, AZ 85711 2020-03-10
1992343362 Laurie Anne Mcmahon Family Medicine 899 N. Wilmot, Building B, Tucson, AZ 85711 2019-12-17
1063060093 Sharese Ann Bailey Counselor 300 S Craycroft Rd, Tucson, AZ 85711 2019-09-03
1467940015 Jin Zhang Ophthalmology 655 N Alvernon Way Ste 204, Tucson, AZ 85711 2018-04-30
1447779525 Catherine Butler Hobart Pharmacist 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 2017-09-11
1689196420 Cope Community Services, Inc. Case Management 924 N Alvernon Way, Tucson, AZ 85711 2017-07-13
1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
1881140184 Elleda Linsmeyer Speech-Language Pathologist St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 2016-08-28
1962856260 Csl-tucson, LLC Assisted Living Facility 1020 N. Woodland Avenue, Tucson, AZ 85711 2016-04-22
Find all providers in zip 85711

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033756358 Native Music Coalition Residential Treatment Facility, Emotionally Disturbed Children 5150 S Crazy Cat Ln, Tucson, AZ 85735 2019-12-05
1538668983 Starks Homes LLC Residential Treatment Facility, Emotionally Disturbed Children 7325 E Fayette St, Tucson, AZ 85730-2324 2018-02-12
1417349028 Intermountain Centers for Human Develoment Inc. Residential Treatment Facility, Emotionally Disturbed Children 8851 East Tanque Verde, Tucson, AZ 85749 2015-02-19
1063749521 Casa De Tucson LLC Residential Treatment Facility, Emotionally Disturbed Children 5055 W Pima Farms Rd, Tucson, AZ 85741-4736 2009-11-04
1417128950 New Beginnings Treatment Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2937 N Stone Ave, Tucson, AZ 85705-5915 2008-03-12
1417134933 Intermountain Centers for Human Development Inc. Residential Treatment Facility, Emotionally Disturbed Children 1310 N Speedway Pl, Tucson, AZ 85715-5236 2008-01-28
1518142033 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 870 W Miracle Mile Bldg 2, Tucson, AZ 85705-3708 2008-01-03
1538341458 New Beginnings Treatment Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2445 N Oracle Rd, Tucson, AZ 85705-4321 2007-12-03
1467661470 Pascua Yaqui Tribe Residential Treatment Facility, Emotionally Disturbed Children 2861 W Via Hacienda, Tucson, AZ 85741-3424 2007-05-22
1477766723 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 1718 N Mckinley Ave, Tucson, AZ 85712-3726 2007-05-07
Find all providers in TUCSON

Competitor

Search similar providers

City TUCSON
Zip Code 85711

Improve Information

Please comment or provide details below to improve the information on SUPPORTED LIVING SYSTEMS.

Dataset Information

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.

Trending Searches