Active NPI
Tusa Saddle Behavioral Health Services LLC
- Community/Behavioral Health Agency
- Casa Grande, AZ
National Provider Identifier
1770260887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TUSA SADDLE BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 615 W Cottonwood LN Ste 5
Casa Grande, AZ 85122-2250 - Phone
- (702) 849-2173
- NPI assigned
- Jun 29, 2023
- Last updated
- Jun 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Mutabazi
- Title
- Ceo
- Phone
- (702) 849-2173
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
615 W Cottonwood LN Ste 5
Casa Grande, AZ 85122-2250
Mailing address
7728 Coronado Island St
Las Vegas, NV 89139-6298
Phone (702) 849-2173
National Provider Directory
National Provider DirectoryLocations
615 W Cottonwood Ln
Ste 56
Casa Grande, AZ 85122
Phone (480) 999-7779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1770260887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7728 CORONADO ISLAND ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891396298",
"telephone_number": "702-849-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W COTTONWOOD LN STE 5",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851222250",
"telephone_number": "702-849-2173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSA SADDLE BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "MUTABAZI",
"authorized_official_first_name": "ISAAC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-849-2173"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.