Organization Active NPI

Christus Group Home

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1548817497
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CHRISTUS GROUP HOME
Practice address
6986 S Red Maids Dr
Tucson, AZ 85756-5100
Phone
(520) 339-7853
NPI assigned
Aug 23, 2019
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Gaetan Kayitankore
Title
Administrator
Phone
(520) 339-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

6986 S Red Maids Dr
Tucson, AZ 85756-5100

Mailing address

6986 S Red Maids Dr
Tucson, AZ 85756-5100
Phone (520) 339-7853

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL christusgrouphome@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1548817497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 S RED MAIDS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565100",
            "telephone_number": "520-339-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6986 S RED MAIDS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857565100",
            "telephone_number": "520-339-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "KAYITANKORE",
        "authorized_official_first_name": "GAETAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-339-7853"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christusgrouphome@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "6986 S Red Maids Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857565100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 23, 2019; 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.