INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.


Address: 8571 E Tanque Verde Rd, Tucson, AZ 85749-8917
Phone: 5207211887

INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. (NPI# 1518055953) 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) 1518055953
Entity Type Organization
Organization Name INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
Other Organization Name AIC SUNRISE
Practice Address 8571 E Tanque Verde Rd
Tucson
AZ 85749-8917
Mailing Address Po Box 86537
Tucson
AZ 85754-6537
Practice Telephone 5207211887
Practice Fax Number 5207602481
Mailing Telephone 5207211887
Mailing Fax Number 5207210069
Enumeration Date 2006-10-11
Last Update Date 2020-10-09
Authorized Official Name ROSE MARY LOPEZ (PRESIDENT AND CEO)
Authorized Official Telephone 5207211887
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children BH1012 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE LICENSE BH1618 01
AZ 462573 05

Other Provider/Organization Names

Other Name Type Code
AIC Sunrise Other Name - Individual/Organization
Sunrise Ranch Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
8551 E Tanque Verde, Tucson, AZ 85749 5207602481 5207210069

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336696657 Intermountain Centers for Human Development Inc. Community/Behavioral Health 276 West View Point Drive, Nogales, AZ 85621 2016-09-02
1659827707 Intermountain Centers for Human Development Inc. Community/Behavioral Health 1821 N Trekell Rd Ste 1, Casa Grande, AZ 85122-1705 2016-08-29
1578922670 Intermountain Centers for Human Development Inc. Community/Behavioral Health 401 N Bonita Ave, Tucson, AZ 85745-2750 2016-02-17
1497135669 Intermountain Centers for Human Development Inc. Community Based Residential Treatment Facility, Mental Illness 2200 S Avenida Los Reyes, Tucson, AZ 85748-8213 2015-06-03
1770884157 Intermountain Centers for Human Development Inc. Community/Behavioral Health 3626 E Lee St, Building 2, Tucson, AZ 85716-3717 2010-11-16
1912208711 Intermountain Centers for Human Development Inc. Community/Behavioral Health 2902 N Winstel Blvd, Tucson, AZ 85716-2029 2010-11-10
1205164605 Intermountain Centers for Human Development Inc. Community/Behavioral Health Bia State Rt 19, Sells, AZ 85634 2009-11-23
1417134933 Intermountain Centers for Human Development Inc. Residential Treatment Facility, Emotionally Disturbed Children 1310 N Speedway Pl, Tucson, AZ 85715-5236 2008-01-28
1740378181 Intermountain Centers for Human Development Inc. Community Based Residential Treatment Facility, Mental Illness 3626 E Lee St Bldg 1, Tucson, AZ 85716-3717 2006-10-11
1891272670 Intermountain Centers for Human Development Inc. Residential Treatment Facility, Emotionally Disturbed Children 4025 N Drake Pl, Tucson, AZ 85749-8299 2018-07-24

Office Location

Street Address 8571 E TANQUE VERDE RD
City TUCSON
State AZ
Zip Code 85749-8917

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194197400 Kristin Palmer Specialist 9006 E Eagle Place, Tucson, AZ 85749 2015-10-26
1417349028 Intermountain Centers for Human Develoment Inc. Residential Treatment Facility, Emotionally Disturbed Children 8851 East Tanque Verde, Tucson, AZ 85749 2015-02-19
1659776557 Mahmoud Moghaddami Nurse Practitioner 1075 E Ft Lowell, Tucson, AZ 85749 2014-11-04
1255632295 John Leroy Kallmeyer, M.d. Obstetrics & Gynecology 11122 E. Rusty Spur Pl., Tucson, AZ 85749 2010-11-08
1861708547 Nancy H Mcgibbon Physical Therapist 8920 E. Woodland Rd, Tucson, AZ 85749 2010-08-19
1366773103 Lee J Weisbard Pharmacist 9115 E Tanque Verde Road, Tucson, AZ 85749 2010-01-19
1568612869 Southwest Surgical Services Specialist/Technologist, Other 12125 E. Quesada Place, Tucson, AZ 85749 2008-09-23
1841456589 David Dietz Counselor 1795 W. Drexel, Tucson, AZ 85749 2008-08-01
1124203682 Marilou Errazo-searles Registered Nurse 11109 E Tanque Verde Rd, Tucson, AZ 85749 2008-01-03
1427142074 Rgl Development, LLC Assisted Living Facility 9050 E Tanque Verde Road, Tucson, AZ 85749 2006-10-03
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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
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Competitor

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City TUCSON
Zip Code 85749

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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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