NPIMap

Organization Active NPI

Compass Health Care Vida Serena

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
National Provider Identifier
1316042740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
COMPASS HEALTH CARE VIDA SERENA
Practice address
2835 N Stone Ave
Tucson, AZ 85705-4502
Phone
(520) 620-0188
Fax
(520) 620-0197
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stephania O'Neill
Title
Deputy Ceo
Phone
(520) 882-5608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

2835 N Stone Ave
Tucson, AZ 85705-4502

Mailing address

2475 N Jackrabbit Ave
Tucson, AZ 85745-1208
Phone (520) 882-5608

Other identifiers 1

IdentifierTypeStateIssuer
592700MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Pasadera Behavioral Health Network10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316042740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 N JACKRABBIT AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451208",
            "telephone_number": "520-882-5608",
            "fax_number": "520-623-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N STONE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054502",
            "telephone_number": "520-620-0188",
            "fax_number": "520-620-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH CARE VIDA SERENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "STEPHANIA",
        "authorized_official_title_or_position": "DEPUTY CEO",
        "authorized_official_telephone_number": "520-882-5608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592700",
            "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 Aug 22, 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.