NPIMap

Organization Active NPI

La Paloma Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1629311634
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
4170 Issued in AZ
Legal business name
LA PALOMA FAMILY SERVICES, INC.
Practice address
870 W Miracle Mile
BLDG 1
Tucson, AZ 85705-3708
Phone
(520) 750-9667
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Lisa Whitehead
Title
Executive Director
Phone
(520) 206-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 4170 AZ Primary

Addresses

Primary practice location

870 W Miracle Mile
BLDG 1
Tucson, AZ 85705-3708

Mailing address

870 W Miracle Mile
BLDG 1
Tucson, AZ 85705-3708
Phone (520) 750-9667

Other identifiers 1

IdentifierTypeStateIssuer
4170OtherAZOBHL

National Provider Directory

National Provider Directory
Tax ID family
La Paloma Family Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

870 W Miracle Mile
Bldg 1
Tucson, AZ 85705
Phone (520) 750-9667

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1629311634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 W MIRACLE MILE",
            "address_2": "BLDG 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053708",
            "telephone_number": "520-750-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 W MIRACLE MILE",
            "address_2": "BLDG 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053708",
            "telephone_number": "520-750-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PALOMA FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-206-8659"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBHL",
            "identifier": "4170",
            "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 Mar 28, 2013; 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.