Tina Tony Residential

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

BH3603 Issued in AZ

Legal business name

TINA TONY RESIDENTIAL

Practice address

5907 E Sanderling Dr
Tucson, AZ 85756-8630

Phone

(520) 777-6094

NPI assigned

Jul 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Celestina Nneka Anyaeji, BHT

Title

Program Director

Phone

(520) 777-6094

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1417269176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 E SANDERLING DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568630",
            "telephone_number": "520-777-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5907 E SANDERLING DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857568630",
            "telephone_number": "520-777-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA TONY RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "ANYAEJI",
        "authorized_official_first_name": "CELESTINA",
        "authorized_official_middle_name": "NNEKA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "520-777-6094",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BHT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "BH3603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHEVIORAL HEALTH RESIDENTIAL",
            "identifier": "BH3603",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.