MR. TIM MARK HANNAH (NPI# 1790961233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790961233 |
| Entity Type | Individual |
| Full Name | MR. TIM MARK HANNAH |
| Practice Address |
4901 W Calle Don Alfonso Tucson AZ 85757-1422 |
| Practice Telephone | 5202488838 |
| Mailing Telephone | 5202488838 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH-2721 | AZ | Residential Treatment Facilities |
| Street Address |
4901 W CALLE DON ALFONSO |
| City | TUCSON |
| State | AZ |
| Zip Code | 85757-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811174055 | The Crisanta House | Community Based Residential Treatment Facility, Mental Illness | 4901 W Calle Don Alfonso, Tucson, AZ 85757-1422 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262984 | Native Mind LLC | Counselor | 6294 S Eagle Talon Pkwy, Tucson, AZ 85757 | 2019-09-03 |
| 1063977007 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 7490 So Camino De Oeste, Tucson, AZ 85757 | 2019-02-04 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1154786812 | Keith Duane Brock | Counselor | 7426 S Camino Vahcom, Tucson, AZ 85757 | 2015-12-23 |
| 1407285224 | Molly Corral | Occupational Therapist | 7420 West Calle Tetakusim, Tucson, AZ 85757 | 2013-11-02 |
| 1972766889 | Albert Mendoza | Respite Care | 4765 W Nebraksa, Tucson, AZ 85757 | 2008-07-10 |
| 1225209125 | Sarah A Dachtyl | Speech-Language Pathologist | 4900 W Calle Don Roberto, Tucson, AZ 85757 | 2008-03-18 |
| 1073603437 | Traci J Otto | Counselor | 7474 South Camino De Oeste, Tucson, AZ 85757 | 2006-10-13 |
| 1942575089 | Adrienne Marie Figueroa | Pharmacist | 7900 S J Stock Rd, Tucsonh, AZ 85757 | 2012-03-21 |
| 1255478889 | Crisanta T Hannah | Community Based Residential Treatment Facility, Mental Illness | 7151 W Valley Stream Drive, Tucson, AZ 85757-1422 | 2007-01-31 |
| Find all providers in zip 85757 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| 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 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on MR. TIM MARK HANNAH.
| 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.