Villa Maria Care Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH5309 Issued in AZ

Legal business name

VILLA MARIA CARE CENTER, LLC

Practice address

4310 E Grant Rd Ste a
Tucson, AZ 85712-2607

Phone

(520) 323-9351

Fax

(520) 323-6490

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Terry McNellis

Title

Owner

Phone

(612) 991-9062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tucson Recovery Villa Maria Doing business as

Tax ID family

Tucson Recovery Villa Maria2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Villa Maria Care Center, LLC

  • Assisted Living Facility
  • Tucson, AZ
  • NPI 1801567300
  NPD tax ID

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1154826527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122607",
            "telephone_number": "520-323-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 E GRANT RD STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122607",
            "telephone_number": "520-323-9351",
            "fax_number": "520-323-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MCNELLIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-991-9062"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH5309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH5309",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Recovery Villa Maria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole A Vigil, LAC
• Chloe Vignery
• Calvin Vijandre, RN
• Louisa Joubert Viles, LCSW
• Villa Campana Rehabilitation Hospital LLC
• Villa Maria Care Center, LLC
• Villa Maria Care Center, LLC
• Villa Siongco Corporation
• Luis Villa-Celis
• Adriana Villa

• Substance Abuse Rehabilitation Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.