CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA (NPI# 1316263643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316263643 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA |
| Other Organization Name | MERILAC LODGE |
| Practice Address |
140 W Speedway Blvd Suite 130 Tucson AZ 85705-7686 |
| Mailing Address |
5138 E 2nd St Tucson AZ 85711-1309 |
| Practice Telephone | 5206230344 |
| Practice Fax Number | 5207708578 |
| Mailing Telephone | 5207708517 |
| Mailing Fax Number | 5207708517 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |
| Authorized Official Name | MARY ANNE BOGOSOFF (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5207708517 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | BH914 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCS | 588973 | 01 |
| Other Name | Type Code |
|---|---|
| Merilac Lodge | Doing Business As Name - Organization |
| Street Address |
140 W SPEEDWAY BLVD SUITE 130 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-7686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528097896 | Catholic Community Services of Southern Arizona, Inc. | Voluntary or Charitable | 140 W Speedway Blvd, Suite 230, Tucson, AZ 85705-7686 | 2006-06-30 |
| 1124579701 | Desiderio Abeyta | Dietitian, Registered | 140 W Speedway Blvd, Suite 100, Tucson, AZ 85705-7686 | 2016-10-19 |
| 1376994467 | Kaye E. Hunt | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2016-06-29 |
| 1023409760 | St Elizabeths Health Center Inc | Clinic/Center | 140 W Speedway Blvd, Ste #100, Tucson, AZ 85705-7686 | 2015-02-17 |
| 1710398110 | Ana Luisa Rosales | Internal Medicine | 140 W Speedway Blvd, Department of Internal Medicine, Tucson, AZ 85705-7698 | 2014-05-19 |
| 1235560830 | St Elizabeths Health Center Inc | Clinic/Center | 140 W Speedway Blvd, Suite #100, Tucson, AZ 85705-7698 | 2013-12-06 |
| 1285061317 | Joseph Michael Ponce | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2013-10-03 |
| 1831534171 | Elizabeth H. Christensen | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2013-04-30 |
| 1457607970 | Kathryn Rae Conway | Social Worker | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2012-08-02 |
| 1366798852 | Patricia A York | Counselor | 140 W Speedway Blvd, Suite 130, Tucson, AZ 85705-7686 | 2012-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457625485 | Az School for The Deaf and Blind | Custodial Care Facility | 1200 W. Speedway, Tucson, AZ 85745-5406 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395048 | Fox Caring Home LLC | Custodial Care Facility | 21895 N Celtic Ave, Maricopa, AZ 85139-5473 | 2020-01-23 |
| 1891240107 | Living Hope Community Care Centers LLC | Custodial Care Facility | 3026 E San Manuel Rd, San Tan Valley, AZ 85143-4536 | 2016-08-17 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1710433974 | Dysart Unified School District #89 | Custodial Care Facility | 15042 W Sweetwater Ave, Surprise, AZ 85379-8164 | 2016-08-28 |
| 1356680938 | Jiralogic, LLC Dba Firstlight Homecare of Scottsdale | Custodial Care Facility | 7585 E Redfield Rd, #105, Scottsdale, AZ 85260-6936 | 2013-02-02 |
| 1134491210 | Ultimate Integrated Patient Care Pllc | Custodial Care Facility | 13714 N Plaza Del Rio Blvd, Peoria, AZ 85381-4874 | 2012-02-03 |
| 1841513413 | Hacienda Inc | Custodial Care Facility | 1402 E South Mountain Ave, Phoenix, AZ 85042-7925 | 2010-03-10 |
Please comment or provide details below to improve the information on CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA.
| 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.