Active NPI
Hope Integrated Clinic LLC
- Community/Behavioral Health Agency
- Tucson, AZ
National Provider Identifier
1083301048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOPE INTEGRATED CLINIC LLC
- Practice address
- 3425 E Grant Rd Ste 100
Tucson, AZ 85716-2840 - Phone
- (480) 306-1423
- NPI assigned
- Apr 20, 2023
- 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
- Gift Mutesi
- Title
- Owner
- Phone
- (480) 306-1423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3425 E Grant Rd Ste 100
Tucson, AZ 85716-2840
Mailing address
5220 E Fairy Duster Dr
Tucson, AZ 85756-5140
Phone (480) 306-1423
Other names 1
- Hope Integrated Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251022002232 | AZ | Part B Supplier - Clinic/Group Practice | 7810485851 |
Receives reassigned benefits from 2 practitioners Practice locations: Tucson, AZ |
National Provider Directory
National Provider DirectoryLocations
911 W Grant Rd
Tucson, AZ 85705
Practitioners & affiliated clinicians
Practitioners 2
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": "1681948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1083301048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 E FAIRY DUSTER DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857565140",
"telephone_number": "480-306-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 E GRANT RD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162840",
"telephone_number": "480-306-1423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE INTEGRATED CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-20",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "MUTESI",
"authorized_official_first_name": "GIFT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-306-1423"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Integrated Clinic",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Hope Integrated Clinic",
"code": "4",
"type": "Former Legal Business 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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.