Active NPI
Catholic Community Services of So. Az. Inc.
Doing business as Community Living Program
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Tucson, AZ
National Provider Identifier
1780895102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC.
- Doing business as
- Community Living Program
- Practice address
- 268 W Adams St
Tucson, AZ 85705-6534 - Phone
- (520) 792-1906
- Fax
- (520) 770-8562
- NPI assigned
- May 25, 2007
- Last updated
- Jun 20, 2024
- Organization subpart
- Yes
- Parent organization
- CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karmen Johnson
- Title
- Associate Director
- Phone
- (520) 539-1263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | AZ | Primary |
Addresses
Primary practice location
268 W Adams St
Tucson, AZ 85705-6534
Mailing address
268 W Adams St
Tucson, AZ 85705-6534
Phone (520) 792-1906
Other practice location 1
7015 E Redbud Rd
Tucson, AZ 85715-5345
Phone (520) 623-0344
Other practice location 2
8840 E 22nd St Apt 1
Tucson, AZ 85710-7330
Phone (520) 623-0344
Other practice location 3
8840 E 22nd St Apt 2
Tucson, AZ 85710-7330
Phone (520) 623-0344
Other practice location 4
5138 E 2nd St
Tucson, AZ 85711-1309
Phone (520) 623-0344
Other practice location 5
3544 E 5th St
Tucson, AZ 85716-5012
Phone (520) 623-0344
Other practice location 6
2345 N Craycroft Rd Apt 220
Tucson, AZ 85712-2812
Phone (520) 623-0344
Other practice location 7
2345 N Craycroft Rd Apt 166
Tucson, AZ 85712-2862
Phone (520) 623-0344
Other practice location 8
2345 N Craycroft Rd Apt 104
Tucson, AZ 85712-2813
Phone (520) 623-0344
Other practice location 9
2345 N Craycroft Rd Apt 108
Tucson, AZ 85712-2814
Phone (520) 623-0344
Other practice location 10
2345 N Craycroft Rd Apt 109
Tucson, AZ 85712-2815
Phone (520) 623-0344
Other practice location 11
4175 E Fort Lowell Rd Apt 3124
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 12
4175 E Fort Lowell Rd Apt 3117
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 13
4175 E Fort Lowell Rd Apt 2109
Tucson, AZ 85712-1065
Phone (520) 623-0344
Other practice location 14
4175 E Fort Lowell Rd Apt 2112
Tucson, AZ 85712-1065
Phone (520) 623-0344
Other practice location 15
4175 E Fort Lowell Rd Apt 2115
Tucson, AZ 85712-1065
Phone (520) 623-0344
Other practice location 16
4175 E Fort Lowell Rd Apt 3118
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 17
4175 E Fort Lowell Rd Apt 3119
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 18
4175 E Fort Lowell Rd Apt 3119
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 19
4175 E Fort Lowell Rd Apt 3120
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other practice location 20
4175 E Fort Lowell Rd Apt 3123
Tucson, AZ 85712-1080
Phone (520) 623-0344
Other names 1
- Community Living Program
National Provider Directory
National Provider Directory- Tax ID family
- Eastside Counseling Ctr
- Part of
- Eastside Counseling Ctr
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Community Outreach Program for the Deaf
- Case Management Agency
- Tucson, AZ
- NPI 1578763298
-
- Community/Behavioral Health Agency
- Sierra Vista, AZ
- NPI 1225901267
-
- Counselor
- Yuma, AZ
- NPI 1255437836
-
dba St Elizabeth of Hungary Clinic
- Clinic/Center
- Tucson, AZ
- NPI 1932231347
-
dba Catholic Community Services / Adams
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1144420449
-
dba Merilac Lodge
- Custodial Care Facility
- Tucson, AZ
- NPI 1316263643
-
dba Casa De Respiro
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1023852506
-
dba Community Outreach Program for the Deaf
- Augmentative Communication Clinic/Center
- Tucson, AZ
- NPI 1891867834
-
dba Daybreak Adult Day Health Care
- Adult Day Care Clinic/Center
- Yuma, AZ
- NPI 1497267892
-
dba Yuma Senior Nutrition
- Home Delivered Meals
- Yuma, AZ
- NPI 1770095143
Locations
5138 E 2nd St
Tucson, AZ 85711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Tucson, AZ
- NPI 1619120482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1780895102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 W ADAMS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857056534",
"telephone_number": "520-792-1906",
"fax_number": "520-770-8562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 W ADAMS ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857056534",
"telephone_number": "520-792-1906",
"fax_number": "520-770-8562"
}
],
"practiceLocations": [
{
"address_1": "7015 E Redbud Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857155345",
"country_code": "US",
"telephone_number": "520-623-0344",
"fax_number": "520-770-8514",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8840 E 22nd St Apt 1",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857107330",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8840 E 22nd St Apt 2",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857107330",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5138 E 2nd St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857111309",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3544 E 5th St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857165012",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 N Craycroft Rd Apt 220",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122812",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 N Craycroft Rd Apt 166",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122862",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 N Craycroft Rd Apt 104",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122813",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 N Craycroft Rd Apt 108",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122814",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2345 N Craycroft Rd Apt 109",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857122815",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3124",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3117",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 2109",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121065",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 2112",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121065",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 2115",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121065",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3118",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3119",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3119",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3120",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4175 E Fort Lowell Rd Apt 3123",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857121080",
"country_code": "US",
"telephone_number": "520-623-0344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CATHOLIC COMMUNITY SERVICES OF SOUTHERN ARIZONA, INC.",
"enumeration_date": "2007-05-25",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KARMEN",
"authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
"authorized_official_telephone_number": "520-539-1263"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Living Program",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tucson, AZ
- Cathexis Tucson, LLC (Cathexis)
- Cathexis Tucson, LLC (Cathexis)
- Cathexis Tucson, LLC
- Catholic Community Services (Community Outreach Program for the Deaf)
- Catholic Community Services of So Az Inc (St Elizabeth of Hungary Clinic)
- Catholic Community Services of Southern Arizona (Catholic Community Services / Adams)
- Catholic Community Services of Southern Arizona (Merilac Lodge)
- Catholic Community Services of Southern Arizona, Inc. (Casa De Respiro)
- Catholic Community Services of Southern Arizona, Inc.
- Catholic Community Services of Southern Arizona, Inc. (Community Outreach Program for the Deaf)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.