NPIMap

Organization Active NPI

Community Partners Integrated Healthcare, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1053844548
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BHXXXX Issued in AZ
Legal business name
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.
Practice address
2499 E Ajo Way
Tucson, AZ 85713-6202
Phone
(520) 901-2300
Fax
(520) 618-6702
NPI assigned
Apr 11, 2017
Organization subpart
Yes
Parent organization
COMMUNITY PARTNERS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Rose Mary Lopez, MBA
Title
President and Ceo
Phone
(520) 721-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BHXXXX AZ Primary

Addresses

Primary practice location

2499 E Ajo Way
Tucson, AZ 85713-6202

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Other identifiers 2

IdentifierTypeStateIssuer
289822MedicaidAZ
IFBH8458OtherAZBMFL LICENSE

Other names 2

  • Assurance Health and Wellness Former legal business name
  • Desert Mountain Subacute Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2132572Community Partners Integrated Healthcare, Inc2499 E Ajo, Tucson, AZ 85713Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cpih Desert Palm Mat7 organizations share this tax ID, including this one
Part of
Community Partners Inc

Other organizations with this tax ID 6

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

Locations

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1053844548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-721-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136202",
            "telephone_number": "520-901-2300",
            "fax_number": "520-618-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY PARTNERS INC.",
        "enumeration_date": "2017-04-11",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "520-721-1887",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BHXXXX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289822",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMFL LICENSE",
            "identifier": "IFBH8458",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Health and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Desert Mountain Subacute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Desert Mountain Subacute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.