NPIMap

Organization Active NPI

Avra Valley Reliance Behavioral Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1649998691
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC
Doing business as
Avra Valley Reliance Behavioral Home LLC
Practice address
1621 N Silverbell Rd
Tucson, AZ 85745-1816
Phone
(520) 622-0488
Fax
(520) 889-4536
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Ms. Catherine KamwithiNPI 1952997462
Title
Administrator
Phone
(520) 624-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1621 N Silverbell Rd
Tucson, AZ 85745-1816

Mailing address

2162 W Speedway Blvd Apt 31104
Tucson, AZ 85745-3938
Phone (978) 729-2869

Other names 1

  • Avra Valley Reliance Behavioral Home LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avra Valley Reliance Behavioral Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1649998691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 W SPEEDWAY BLVD APT 31104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453938",
            "telephone_number": "978-729-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N SILVERBELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451816",
            "telephone_number": "520-622-0488",
            "fax_number": "520-889-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "KAMWITHI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-624-4475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avra Valley Reliance Behavioral Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2022; 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.