Active NPI
Arizona Community Support Services Inc
- Mental Illness Community Based Residential Treatment Facility
- Tucson, AZ
National Provider Identifier
1013705458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- ARIZONA COMMUNITY SUPPORT SERVICES INC
- Practice address
- 5142 S Fox Trot Dr
Tucson, AZ 85746-1171 - Phone
- (520) 891-2611
- NPI assigned
- Apr 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sahra Hirsi
- Title
- Program Adminstrator
- Phone
- (520) 891-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
5142 S Fox Trot Dr
Tucson, AZ 85746-1171
Mailing address
4934 E Broadway Blvd
Tucson, AZ 85711-3612
Phone (520) 891-2611
National Provider Directory
National Provider DirectoryLocations
4934 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 232-2280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745625600000",
"number": "1013705458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4934 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113612",
"telephone_number": "520-891-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5142 S FOX TROT DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857461171",
"telephone_number": "520-891-2611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA COMMUNITY SUPPORT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-26",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A",
"authorized_official_last_name": "HIRSI",
"authorized_official_first_name": "SAHRA",
"authorized_official_title_or_position": "PROGRAM ADMINSTRATOR",
"authorized_official_telephone_number": "520-891-2611"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Arizona Community Physicians PC
- Arizona Community Physicians PC
- Arizona Community Physicians PC
- Arizona Community Physicians, PC
- Arizona Community Physicians, PC
- Arizona Community Surgeons PC
- Arizona Community Surgeons PC
- Arizona Community Surgeons PC
- Arizona Community Surgeons PC
- Arizona Community Surgeons, P. C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.