LA FRONTERA CENTER, INC. (NPI# 1255432183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255432183 |
| Entity Type | Organization |
| Organization Name | LA FRONTERA CENTER, INC. |
| Practice Address |
10841 N Thornydale Road Tucson AZ 85742 |
| Mailing Address |
502 W 29th Street Tucson AZ 85713-3353 |
| Practice Telephone | 5205729320 |
| Practice Fax Number | 5205728978 |
| Mailing Telephone | 5208849920 |
| Mailing Fax Number | 5207920654 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATHY WELLS (COO) |
| Authorized Official Telephone | 5208385501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | BH-2642 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 083678 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932404225 | La Frontera Center, Inc. | Case Management | 1082 E Ajo Way Ste 100, Tucson, AZ 85713-5051 | 2011-01-18 |
| 1023320751 | La Frontera Center, Inc. | Case Management | 1141 W Grant Rd, Suite 100, Tucson, AZ 85705-5354 | 2010-07-10 |
| 1154554988 | La Frontera Center, Inc. | Case Management | 410 S 6th Ave, Tucson, AZ 85701-2312 | 2009-08-27 |
| 1134201114 | La Frontera Center, Inc. | Case Management | 748 N. Stone, Tucson, AZ 85705 | 2006-10-19 |
| 1720177348 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10845 N. Thornydale Road, Tucson, AZ 85742 | 2006-10-12 |
| 1063504199 | La Frontera Center, Inc. | Substance Abuse Rehabilitation Facility | 1900 W. Speedway, Tucson, AZ 85745 | 2006-09-28 |
| 1679674840 | La Frontera Center, Inc. | Case Management | 1210 E. Pennsylvania, Tucson, AZ 85714 | 2006-09-26 |
| 1548361470 | La Frontera Center, Inc. | Clinic/Center | 260 S. Scott, Tucson, AZ 85701 | 2006-09-25 |
| 1811098742 | La Frontera Center, Inc. | Clinic/Center | 2222 N. Craycroft, Tucson, AZ 85712 | 2006-09-25 |
| 1023119955 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 1441 S. No Le Hace, Tucson, AZ 85745 | 2006-09-25 |
| Street Address |
10841 N THORNYDALE ROAD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889820 | Oro Valley Hospital LLC | Clinic/Center | 6350 W Marana Center Blvd, Tucson, AZ 85742 | 2018-01-24 |
| 1962913210 | Patti Sue Speck | Speech-Language Pathologist | Wilson K-8 School, 2330 W. Glover Rd, Tucson, AZ 85742 | 2017-10-13 |
| 1265664312 | Orthomed, LLC | Physical Therapist | 8770 N. Thornydale Rd, Suite 100, Tucson, AZ 85742 | 2009-08-21 |
| 1356582688 | Christian Peters D.o.p.c. | General Practice | 6070 W. Desert Marigold Ln, Tucson, AZ 85742 | 2009-03-17 |
| 1235308834 | Presidio Dental Pllc | Dentist | 8740 Thornydale Road, Suite 100, Tucson, AZ 85742 | 2008-02-27 |
| 1700907961 | Rachel E Lohrman | Technician | 3085 W Country Hill Dr, Tucson, AZ 85742 | 2007-04-03 |
| 1386765188 | Adena B. Lees | Social Worker | 2292 West Magee Rd., Suite 260, Tucson, AZ 85742 | 2007-04-02 |
| 1548303563 | Jimmy Dale Stout | Specialist | 8960 N Agate Place, Tucson, AZ 85742 | 2007-02-15 |
| 1386700441 | Loretta Rose Kramer | Counselor | 10455 N Gila Rd, Tucson, AZ 85742 | 2006-12-30 |
| 1164580189 | Larry Alan Shipley | Chiropractor | 2292 W Magee Rd Suite 170, Shipley Chiropractic, Tucson, AZ 85742 | 2006-12-04 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
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|---|---|---|---|---|
| 1407040553 | Mirasol Inc | Psychiatric Residential Treatment Facility | 1515 E Kleindale Rd, Tucson, AZ 85719-1915 | 2007-08-31 |
| 1669535720 | Mirasol, Inc. | Psychiatric Residential Treatment Facility | 10490 E Escalante Rd, Tucson, AZ 85730-5502 | 2006-12-19 |
| 1720177348 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 10845 N. Thornydale Road, Tucson, AZ 85742 | 2006-10-12 |
| 1023119955 | La Frontera Center, Inc. | Psychiatric Residential Treatment Facility | 1441 S. No Le Hace, Tucson, AZ 85745 | 2006-09-25 |
| 1346706306 | Impact Medical Group | Psychiatric Residential Treatment Facility | 870 W Miracle Mile, Tucson, AZ 85705-3708 | 2019-02-14 |
| 1154866853 | Bethel House | Psychiatric Residential Treatment Facility | 9820 E Paseo San Bernardo, Tucson, AZ 85747-5022 | 2017-01-04 |
| 1518299767 | Sierra Tucson, Inc. | Psychiatric Residential Treatment Facility | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2010-02-12 |
| 1932334877 | Raymond William Novak | Psychiatric Residential Treatment Facility | 10500 E Tanque Verde Rd, Tucson, AZ 85749-8931 | 2009-05-21 |
| 1184814550 | Haven Sendero De Sonora, Inc. | Psychiatric Residential Treatment Facility | 2502 N Dodge Blvd, Suite 160, Tucson, AZ 85716-2671 | 2007-07-31 |
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| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
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| 1437773942 | Excellent Care LLC | Psychiatric Residential Treatment Facility | 14029 N 39th Ave, Phoenix, AZ 85053-5438 | 2020-06-01 |
| 1730701517 | Jezzob Behavioral Health LLC | Psychiatric Residential Treatment Facility | 4918 W Apollo Rd, Laveen, AZ 85339-6289 | 2020-05-14 |
| 1235750977 | Sagamar Behavioral Care Home, LLC | Psychiatric Residential Treatment Facility | 4444 N 13th Pl Apt 3, Phoenix, AZ 85014-4584 | 2020-05-05 |
| 1508492703 | Rehoboth LLC | Psychiatric Residential Treatment Facility | 41947 W Rosa Dr, Maricopa, AZ 85138-2550 | 2020-03-19 |
| 1851926661 | Cadens Health and Wellness LLC | Psychiatric Residential Treatment Facility | 5244 W Apollo Rd, Laveen, AZ 85339-6912 | 2020-03-12 |
| 1114552122 | Angel Heart Behavioral Health IIi LLC | Psychiatric Residential Treatment Facility | 9223 W Meadow Brook, 9223 W Meadow Brook Ave, Phoenix, AZ 85037-8503 | 2020-03-10 |
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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.