Organization Active NPI

Hope Integrated Clinic LLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1083301048
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 19, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022002232 AZ Part B Supplier - Clinic/Group Practice 7810485851 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.