Organization Active NPI

Mercy House Recovery Systems Inc.

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
National Provider Identifier
1073955712
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MERCY HOUSE RECOVERY SYSTEMS INC.
Practice address
2215 E Pinon Dr
Tucson, AZ 85706-2453
Phone
(520) 829-7410
Fax
(520) 829-7410
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Michael Corral
Title
Ceo
Phone
(520) 829-7410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 03D2063481 AZ
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2215 E Pinon Dr
Tucson, AZ 85706-2453

Mailing address

2215 E Pinon Dr
Tucson, AZ 85706-2453
Phone (520) 829-7410

Other identifiers 1

IdentifierTypeStateIssuer
03D2063481OtherAZCLIA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1073955712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E PINON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857062453",
            "telephone_number": "520-829-7410",
            "fax_number": "520-829-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E PINON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857062453",
            "telephone_number": "520-829-7410",
            "fax_number": "520-829-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOUSE RECOVERY SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "CORRAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-829-7410"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "03D2063481",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "03D2063481",
            "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 Nov 1, 2013; 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.