CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC. (NPI# 1780895102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780895102 |
| Entity Type | Organization |
| Organization Name | CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC. |
| Other Organization Name | COMMUNITY LIVING PROGRAM |
| Practice Address |
268 W Adams St Tucson AZ 85705-6534 |
| Practice Telephone | 5207921906 |
| Practice Fax Number | 5207708562 |
| Mailing Telephone | 5207921906 |
| Mailing Fax Number | 5207708562 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGUERITE HARMON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5206230344 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AZ | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Community Living Program | Doing Business As Name - Organization |
| Street Address |
268 W ADAMS ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891867834 | Catholic Community Services of Southern Arizona, Inc. | Clinic/Center | 268 W Adams St, Tucson, AZ 85705-6534 | 2006-11-14 |
| 1578763298 | Catholic Community Services | Community/Behavioral Health | 268 W Adams St, Tucson, AZ 85705-6534 | 2007-07-20 |
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945370 | Natalie Miranda Contreras | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5717 S Southland Blvd Apt D, Tucson, AZ 85706-4241 | 2019-10-29 |
| 1023556347 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8040 E Eli St, Tucson, AZ 85710-5819 | 2017-02-07 |
| 1124566443 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3150 S Vaughn Dr, Tucson, AZ 85730-3612 | 2017-02-07 |
| 1851681118 | Origins Society and Global College | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2555 N Edith Blvd, Tucson, AZ 85716-2508 | 2011-04-07 |
| 1720225055 | Palm View Assisted Living, LLC. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 E Speedway Blvd, Tucson, AZ 85748-2016 | 2009-01-08 |
| 1043424278 | Danville Services of Arizona, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 W Wetmore Rd, #201, Tucson, AZ 85705-1671 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948954 | Forever Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4200 N Pebble Creek Pkwy Apt 2069, Goodyear, AZ 85395-9028 | 2020-10-06 |
| 1285245407 | Ams Living, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3058 E Nance St, Mesa, AZ 85213-1644 | 2020-08-11 |
| 1437768892 | Max Care Center LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2239 W Hasan Dr, Phoenix, AZ 85041-5312 | 2020-07-30 |
| 1265050876 | Arizona Alternative Support, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36379 W El Greco St, Maricopa, AZ 85138-5323 | 2020-07-09 |
| 1255957304 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7209 W Forest Grove Ave, Phoenix, AZ 85043-7303 | 2020-06-24 |
| 1265067052 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7321 S 15th Dr, Phoenix, AZ 85041-6932 | 2020-03-12 |
| 1083249874 | Benchmark Valley LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1506 E Irwin Ave, Phoenix, AZ 85042-5618 | 2020-03-12 |
| 1861024069 | New Roots Residency LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3139 W Carson Rd, Phoenix, AZ 85041-6342 | 2020-02-06 |
| 1972149078 | Serenitybehavioralhealth.llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15202 N Flamenco Dr, Phoenix, AZ 85053-4872 | 2019-11-23 |
| 1386102788 | Huduma House, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6221 W Illini St, Phoenix, AZ 85043-1915 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC..
| 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.