NPIMap

Organization Active NPI

Danville Services of Arizona, L.L.C.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1043424278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
637978 Issued in AZ
Legal business name
DANVILLE SERVICES OF ARIZONA, L.L.C.
Practice address
17 W Wetmore Rd
#201
Tucson, AZ 85705-1671
Phone
(520) 327-9889
Fax
(520) 320-0658
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Luis Daniel Padilla
Title
State Director
Phone
(520) 327-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 637978 AZ Primary

Addresses

Primary practice location

17 W Wetmore Rd
#201
Tucson, AZ 85705-1671

Mailing address

17 W Wetmore Rd
#201
Tucson, AZ 85705-1671
Phone (520) 327-9889

Other identifiers 2

IdentifierTypeStateIssuer
637978OtherAZAHCCCS PROVIDER ID #
644410OtherAZAHCCCS PROVIDER ID #

National Provider Directory

National Provider Directory
Tax ID family
Danville Services of Nevada LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043424278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W WETMORE RD",
            "address_2": "#201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051671",
            "telephone_number": "520-327-9889",
            "fax_number": "520-320-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W WETMORE RD",
            "address_2": "#201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051671",
            "telephone_number": "520-327-9889",
            "fax_number": "520-320-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE SERVICES OF ARIZONA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "520-327-9889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "637978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID #",
            "identifier": "637978",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID #",
            "identifier": "644410",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.