Redstone Southwest Residential and Services

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

REDSTONE SOUTHWEST RESIDENTIAL AND SERVICES

Practice address

10530 W Bopp Rd
Tucson, AZ 85735-8774

Phone

(520) 869-1774

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Anna Veronica Tarazon Arevalo

Title

Director

Phone

(520) 869-1774

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1831852680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 W BOPP RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857358774",
            "telephone_number": "520-869-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 W BOPP RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857358774",
            "telephone_number": "520-869-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDSTONE SOUTHWEST RESIDENTIAL AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "TARAZON AREVALO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-869-1774"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Ashwin Reding, DO
• Joshua David Redlin, MSW
• Redman Power Chair
• Gloria Redman, COTA
• Paula Redman
• Mary Elizabeth Redwine, FNP-C
• Kristin Elizabeth Reeb, MS-ED., CCC-SLP
• Micaela Reece-Williams, PSYD
• Christina Reece
• Derek Reece, MSW, LMSW

• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.