Organization Active NPI

Tucson Transitional Living LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tucson, AZ
National Provider Identifier
1457604126
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TUCSON TRANSITIONAL LIVING LLC
Practice address
1309 N Venice Ave
Tucson, AZ 85712-3935
Phone
(954) 746-8232
Fax
(954) 746-8981
NPI assigned
Oct 18, 2012
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Neisha Zaffuto
Title
Business Manager
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1309 N Venice Ave
Tucson, AZ 85712-3935

Mailing address

1900 W Sage St
Tucson, AZ 85704-2264
Phone (954) 746-8232

Other identifiers 1

IdentifierTypeStateIssuer
03D2042651OtherAZCLIA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1457604126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W SAGE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042264",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N VENICE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123935",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON TRANSITIONAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "ZAFFUTO",
        "authorized_official_first_name": "NEISHA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "954-746-8232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "03D2042651",
            "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 Jun 30, 2014; 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.