PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION (NPI# 1780788240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780788240 |
| Entity Type | Organization |
| Organization Name | PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION |
| Other Organization Name | COMPASS HEALTH CARE, INC. |
| Practice Address |
2950 N. Dodge Blvd. Tucson AZ 85716-2012 |
| Mailing Address |
2502 N. Dodge Blvd. Suite 190 Tucson AZ 85716-2675 |
| Practice Telephone | 5206283155 |
| Practice Fax Number | 5206283158 |
| Mailing Telephone | 5206188622 |
| Mailing Fax Number | 5206171608 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | GROVER GLENN (DIRECTOR OF QM) |
| Authorized Official Telephone | 5206188622 |
| Authorized Official Credential | MA, LPC, LISAC, |
| Is Organization Subpart | Y |
| Parent Organization Name | COMPASS BEHAVIORAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH/H-3958 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | BH/H-3958 | 01 |
| AZ | 592578 | 05 | |
| AZ | 807745 | 05 |
| Other Name | Type Code |
|---|---|
| Compass Health Care, Inc. | Former Legal Business Name - Organization |
| Street Address |
2950 N. DODGE BLVD. |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740550839 | Pasadera Behavioral Health Network | Rehabilitation, Substance Use Disorder Unit | 2950 N. Dodge Blvd., Tucson, AZ 85716-2012 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
| 1154826527 | Villa Maria Care Center, LLC | Substance Abuse Rehabilitation Facility | 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 | 2018-03-28 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| 1649686106 | Southwest Sober Living, LLC | Substance Abuse Rehabilitation Facility | 330 W Los Altos Rd, Tucson, AZ 85704-5671 | 2014-07-06 |
| 1669886370 | The Villas | Substance Abuse Rehabilitation Facility | 6849 S Tackweed Way, Tucson, AZ 85756-5141 | 2014-06-20 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1336434364 | Transitional Living Corporation | Substance Abuse Rehabilitation Facility | 1313 S. Venice Ave, Tucson, AZ 85712-3935 | 2011-06-17 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| Find all providers in TUCSON | ||||
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| 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.