Organization Active NPI

United Cerebral Palsy of Southern Arizona, Inc

  • Home Health Agency
  • Tucson, AZ
National Provider Identifier
1861522435
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNITED CEREBRAL PALSY OF SOUTHERN ARIZONA, INC
Practice address
630 N Craycroft Rd
Tucson, AZ 85711-1405
Phone
(520) 795-3108
Fax
(520) 795-3196
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Authorized official

Name
Mrs. Cindy Mars, PH.D.
Title
Ceo
Phone
(520) 795-3108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary

Addresses

Primary practice location

630 N Craycroft Rd
Tucson, AZ 85711-1405

Mailing address

630 N. Craycroft Rd
Tucson, AZ 85711
Phone (520) 795-3108

Other identifiers 1

IdentifierTypeStateIssuer
329393MedicaidAZ

National Provider Directory

National Provider Directory

Locations

1131 S La Canada Dr
Ste 105
Green Valley, AZ 85614

630 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 344-8280

3941 E 29th St
Ste 603
Tucson, AZ 85711
Phone (520) 795-3108

635 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 370-9032

4002 E Grant Rd
Tucson, AZ 85712

333 W 8th St
Yuma, AZ 85364

Practitioners & affiliated clinicians

Practitioners 6

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1861522435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N. CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-795-3108",
            "fax_number": "520-795-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111405",
            "telephone_number": "520-795-3108",
            "fax_number": "520-795-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF SOUTHERN ARIZONA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-795-3108",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329393",
            "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 May 2, 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.