Organization Active NPI

Casa de Tucson

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tucson, AZ
National Provider Identifier
1790798924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
BH-1941 Issued in AZ
Legal business name
CASA DE TUCSON
Practice address
3700 W Gailey Dr
Tucson, AZ 85741-2017
Phone
(520) 572-0404
Fax
(520) 572-0776
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anne N Howarth, REGISTERED NURSE
Title
Owner/Administrator
Phone
(520) 572-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X BH-1941 AZ Primary

Addresses

Primary practice location

3700 W Gailey Dr
Tucson, AZ 85741-2017

Mailing address

3700 W Gailey Dr
Tucson, AZ 85741-2017
Phone (520) 572-0404

Other identifiers 1

IdentifierTypeStateIssuer
57990OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Casa de Tucson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790798924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W GAILEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412017",
            "telephone_number": "520-572-0404",
            "fax_number": "520-572-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W GAILEY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412017",
            "telephone_number": "520-572-0404",
            "fax_number": "520-572-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE TUCSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARTH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "520-572-0404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-1941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "57990",
            "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 Aug 22, 2020; 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.