DEVEREUX FOUNDATION


Address: 100 N Camino Seco, Tucson, AZ 85710-2900
Phone: 4809982920

DEVEREUX FOUNDATION (NPI# 1356792923) 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) 1356792923
Entity Type Organization
Organization Name DEVEREUX FOUNDATION
Other Organization Name DEVEREUX ARIZONA - CASA ENSUENO
Practice Address 100 N Camino Seco
Tucson
AZ 85710-2900
Mailing Address 2025 N 3rd St
#250
Phoenix
AZ 85004-1471
Practice Telephone 4809982920
Mailing Telephone 4808890566
Enumeration Date 2016-06-24
Last Update Date 2016-06-24
Authorized Official Name LANE MARTIN-BARKER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 4809982920
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Devereux Arizona - Casa Ensueno Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952908618 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 2020-10-06
1356969679 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Genuardi Circle, West Chester, PA 19380 2020-07-13
1447882618 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 147 W Academy St, Clayton, NJ 08312-1435 2020-02-06
1043866858 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 2019-08-16
1205494978 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 2019-05-29
1023675808 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 2019-05-28
1346700010 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 780 Watchung Rd, Bound Brook, NJ 08805-1455 2019-03-20
1609333194 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 34 Creek Ln, Mount Royal, NJ 08061-1039 2019-02-21
1902370570 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 122 Leopard Rd, Berwyn, PA 19312-1809 2019-01-17
1326512476 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 109 Bloss Rd, Canadensis, PA 18325-4741 2019-01-11

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations DEVEREUX FOUNDATION, INC., THE 81 Sabbaday La, Washington, CT 06793

Office Location

Street Address 100 N CAMINO SECO
City TUCSON
State AZ
Zip Code 85710-2900

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689220691 Elidia Beas Newbold Technician 9122 E. Calle Maria, Tuscon, AZ 85710 2019-08-15
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1316438351 Life Aligned Regenerative Medical Center LLC General Practice 7920 E Broadway Blvd, Suite 106, Tuscon, AZ 85710 2018-05-25
1497264253 Beverly Capili Nurse Practitioner 6622 East Carondelet Drive, Tucson, AZ 85710 2017-09-25
1629590120 Linsey Nicole Tomaro Physician Assistant 6303 E. Broadway Blvd., Suite 161, Tucson, AZ 85710 2017-07-17
1750803748 Christopher Sullivan Podiatrist 6442 S. Speedway Blvd, Ste 102, Tucson, AZ 85710 2017-07-11
1346762713 Friday Sika Respite Care 8251 E. Kenyon Dr., Tucson, AZ 85710 2017-07-07
1821536228 Southern Arizona Urgent Care, LLC Clinic/Center 6303 E. Broadway Blvd, 161, Tucson, AZ 85710 2017-02-06
1659727816 Mwangaza Residential Care LLC Community Based Residential Treatment Facility, Mental Illness 8421 E. Colette St, Tucson, AZ 85710 2016-05-06
1124494240 Caring Connections for Special Needs, LLC Community/Behavioral Health 921 S Prudence Rd, Tucson, AZ 85710 2015-08-12
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811519705 Rhema Home Community Based Residential Treatment Facility, Mental Illness 5959 S Rowan Ct, Tucson, AZ 85706-0005 2020-05-13
1063059525 Dream Builders of Arizona Community Based Residential Treatment Facility, Mental Illness 5115 W Sumter Dr, Tucson, AZ 85742-8247 2019-12-04
1548817497 Christus Group Home Community Based Residential Treatment Facility, Mental Illness 6986 S Red Maids Dr, Tucson, AZ 85756-5100 2019-08-23
1255983037 Devereux Arizona Community Based Residential Treatment Facility, Mental Illness 2000 E Spring St, Tucson, AZ 85719-3428 2019-07-12
1194280479 Tender Loving Care Home LLC Community Based Residential Treatment Facility, Mental Illness 509 S Staunton Dr, Tucson, AZ 85710-6254 2019-01-31
1649755562 Winam Behavioral Services Community Based Residential Treatment Facility, Mental Illness 534 S Kenyon Dr, Tucson, AZ 85710-4645 2018-09-26
1699226068 Codac Health, Recovery & Wellness, Inc. Community Based Residential Treatment Facility, Mental Illness 2482 N Palo Verde Ave, Tucson, AZ 85716-2548 2016-10-20
1255881355 Codac Health, Recovery & Wellness, Inc. Community Based Residential Treatment Facility, Mental Illness 4801 E Helen St, Tucson, AZ 85712-4717 2016-10-12
1245787043 Community Partners Integrated Healthcare, Inc. Community Based Residential Treatment Facility, Mental Illness 2502 N Dodge Blvd Ste 190-west, Tucson, AZ 85716-2671 2016-09-08
1720439961 Toate Ganago Community Based Residential Treatment Facility, Mental Illness 6781 S Aquiline Dr, Tucson, AZ 85756-8639 2016-06-29
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Competitor

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City TUCSON
Zip Code 85710

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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.

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