ARIZONA REHAB CAMPUS, LLC (NPI# 1245767052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245767052 |
| Entity Type | Organization |
| Organization Name | ARIZONA REHAB CAMPUS, LLC |
| Practice Address |
6944 E Tanque Verde Rd Tucson AZ 85715 |
| Mailing Address |
6944 E Tanque Verde Rd Tucson AZ 85715-5308 |
| Practice Telephone | 6233261055 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | MS. NICOLE WILLIAMS (CLAIMS MGR) |
| Authorized Official Telephone | 5205261028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH5118 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ STATE LICENSE | BH5118 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1578020756 | Arizona Rehab Campus, LLC | Clinical Medical Laboratory | 6944 E Tanque Verde Rd, Tucson, AZ 85715-5308 | 2019-02-25 |
| 1033697818 | Arizona Rehab Campus, LLC | Community/Behavioral Health | 6944 E Tanque Verde Rd, Tucson, AZ 85715-5308 | 2018-08-02 |
| 1235657461 | Arizona Rehab Campus, LLC | Clinic/Center | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2017-09-08 |
| Street Address |
6944 E TANQUE VERDE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1578020756 | Arizona Rehab Campus, LLC | Clinical Medical Laboratory | 6944 E Tanque Verde Rd, Tucson, AZ 85715-5308 | 2019-02-25 |
| 1033697818 | Arizona Rehab Campus, LLC | Community/Behavioral Health | 6944 E Tanque Verde Rd, Tucson, AZ 85715-5308 | 2018-08-02 |
| 1235657461 | Arizona Rehab Campus, LLC | Clinic/Center | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
| 1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
| 1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
| 1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
| 1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
| 1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
| 1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
| 1730492968 | Bahareh Saghafi | Specialist/Technologist | 1200 N. Eldorado Place, Suite A-150, Tucson, AZ 85715 | 2010-07-16 |
| Find all providers in zip 85715 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
| 1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
| 1154826527 | Villa Maria Care Center, LLC | Substance Abuse Rehabilitation Facility | 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 | 2018-03-28 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| 1649686106 | Southwest Sober Living, LLC | Substance Abuse Rehabilitation Facility | 330 W Los Altos Rd, Tucson, AZ 85704-5671 | 2014-07-06 |
| 1669886370 | The Villas | Substance Abuse Rehabilitation Facility | 6849 S Tackweed Way, Tucson, AZ 85756-5141 | 2014-06-20 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1336434364 | Transitional Living Corporation | Substance Abuse Rehabilitation Facility | 1313 S. Venice Ave, Tucson, AZ 85712-3935 | 2011-06-17 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.