RESCARE ARIZONA, INC. (NPI# 1992179600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992179600 |
| Entity Type | Organization |
| Organization Name | RESCARE ARIZONA, INC. |
| Other Organization Name | 39TH ST. GH |
| Practice Address |
6624 E 39th St Tucson AZ 85730-1612 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 5207774035 |
| Mailing Telephone | 5023942100 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MARY A PANK (PARALEGAL) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| 39th St. GH | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 S Camino Seco, Tucson, AZ 857104484 | 5203985675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857124 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 7442 W Port Au Prince Ln, Peoria, AZ 85381-4447 | 2018-10-23 |
| 1790223774 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 598 Hummingbird Way, Prescott, AZ 86301-5737 | 2017-02-09 |
| 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 |
| 1780122002 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12357 W Heatherbrae Dr, Avondale, AZ 85392-4280 | 2017-02-07 |
| 1538606710 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2730 Colorado Ave, Kingman, AZ 86401-5261 | 2017-01-25 |
| 1982141164 | Rescare Arizona, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2569 Country Club Dr, Bullhead City, AZ 86442-7713 | 2017-01-25 |
| 1396101390 | Rescare Arizona, Inc. | Day Training, Developmentally Disabled Services | 3044 N Tani Rd, Prescott Valley, AZ 86314-8686 | 2016-01-06 |
| 1679939763 | Rescare Arizona, Inc. | In Home Supportive Care | 5211 N Lone Dr, Prescott Valley, AZ 86314-4339 | 2016-01-06 |
| 1396101481 | Rescare Arizona, Inc. | In Home Supportive Care | 4885 N Arnold Dr, Prescott Valley, AZ 86314-6161 | 2016-01-06 |
| Street Address |
6624 E 39TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85730-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871019927 | Jacques Boubeka | Behavior Technician | 9047 E Mayberry Dr, Tucson, AZ 85730 | 2017-08-21 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1285037648 | Eden Huang | Physician Assistant | 6950 E Golf Links, Tucson, AZ 85730 | 2014-09-30 |
| 1881002376 | Chisom P Umogbai | Optometrist | 7046 E Golf Links Rd, Tucson, AZ 85730 | 2014-07-28 |
| 1720490154 | Integrity Counseling Services, Plc | Counselor | 11092 E. Placita Cumbia, Tucson, AZ 85730 | 2014-05-20 |
| 1619399276 | Karla J. Gracia | Counselor | 8050 E. Lakeside Pkwy, Tucson, AZ 85730 | 2014-01-15 |
| 1780934505 | Kendrah Jordan Davis | Contractor | 3226 South Lakeside Drive, Tucson, AZ 85730 | 2012-09-19 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| 1568770154 | Steven Fabian Wautlet | Pharmacist | 7771 E. Golf Links Road, Tucson, AZ 85730 | 2010-09-17 |
| 1033239942 | Franciso Garcia | Psychiatry & Neurology | 8050 East Lakeside Parkway, Cope Community Services, Inc., Tucson, AZ 85730 | 2007-04-02 |
| Find all providers in zip 85730 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073978037 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 6633 E Mary Dr, Tucson, AZ 85730-1650 | 2015-12-17 |
| 1336513043 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 413 E Rodeo Dr, Tucson, AZ 85714-2842 | 2015-11-18 |
| 1457725160 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 1070 W Schafer Dr, Tucson, AZ 85705-1528 | 2015-11-18 |
| 1093189706 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 140 S Camino Seco, Suite 305, Tucson, AZ 85710-4484 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103196 | Better Horizons LLC | Intermediate Care Facility, Mentally Retarded | 18491 E Ashridge Dr, Queen Creek, AZ 85142-3619 | 2020-01-23 |
| 1710130059 | Arizona Training Program @coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-10-30 |
| 1881859536 | Arizona Training Program - Windsor | Intermediate Care Facility, Mentally Retarded | 1750 E Windsor, Phoenix, AZ 85006 | 2008-07-22 |
| 1619132354 | Arizona Training Program - Pinchot | Intermediate Care Facility, Mentally Retarded | 3322 E Pinchot, Phoenix, AZ 85018 | 2008-07-22 |
| 1982869632 | Arizona Training Program - Campbell | Intermediate Care Facility, Mentally Retarded | 2327 W Campbell, Phoenix, AZ 85015 | 2008-07-22 |
| 1306001052 | Arizona Training Program - Earll | Intermediate Care Facility, Mentally Retarded | 3043 N 37th Street, Phoenix, AZ 85018 | 2008-07-22 |
| 1528423589 | Rescare Arizona, Inc. | Intermediate Care Facility, Mentally Retarded | 960 W Behrend Dr Ste 3, Phoenix, AZ 85027-4406 | 2015-12-17 |
| 1639323082 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1528212974 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| 1992959340 | Arizona Training Program @ Coolidge | Intermediate Care Facility, Mentally Retarded | 2800 N. Highway 87, Coolidge, AZ 85228 | 2008-11-12 |
| Find all providers with the same taxonomy | ||||
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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.