LA PALOMA FAMILY SERVICES


Address: 870 W Miracle Mile Bldg 2, Tucson, AZ 85705-3708
Phone: 5207509667

LA PALOMA FAMILY SERVICES (NPI# 1518142033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518142033
Entity Type Organization
Organization Name LA PALOMA FAMILY SERVICES
Other Organization Name FAIRVIEW LII GROUP HOME
Practice Address 870 W Miracle Mile Bldg 2
Tucson
AZ 85705-3708
Mailing Address 870 W Miracle Mile
Tucson
AZ 85705-3708
Practice Telephone 5207509667
Practice Fax Number 5207500056
Mailing Telephone 5207509667
Mailing Fax Number 5207500056
Enumeration Date 2008-01-03
Last Update Date 2008-01-03
Authorized Official Name MR. DAVID BRADLEY (CEO)
Authorized Official Telephone 5207509667
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children BH3029 AZ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ APPLIED 05

Other Provider/Organization Names

Other Name Type Code
Fairview LII Group Home Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821488867 La Paloma Family Services Foster Care Agency 5702 E 14th St, Tucson, AZ 85711-4567 2015-01-29
1548687601 La Paloma Family Services Foster Care Agency 7880 S Castle Bay St, Tucson, AZ 85747-9229 2014-03-26
1710190061 La Paloma Family Services Community/Behavioral Health 880 S Craycroft Rd, Tucson, AZ 85711-7111 2007-05-07
1477766723 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 1718 N Mckinley Ave, Tucson, AZ 85712-3726 2007-05-07
1700961224 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 870 W Miracle Mile, Tucson, AZ 85705-3708 2006-10-25
1083794564 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 8400 E Timrod St, Tucson, AZ 85710-4255 2006-10-17
1700966231 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 1654 N Rosemont Blvd, Tucson, AZ 85712-4141 2006-10-17
1265512776 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 4321 S Evergreen Ave, Tucson, AZ 85730-4005 2006-10-17
1124116678 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 240 W Navajo Rd, Tucson, AZ 85705-3514 2006-10-10
1699872028 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 5457 E 6th St, Tucson, AZ 85711-2341 2006-09-20

Office Location

Street Address 870 W MIRACLE MILE BLDG 2
City TUCSON
State AZ
Zip Code 85705-3708

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1730681685 Casa De Los Ninos, Inc. Community/Behavioral Health 1120 N 5th Avenue, Tucson, AZ 85705 2018-03-07
1699275693 Tzimari Sotelo Nurse Practitioner 941 N 11th Ave, Tucson, AZ 85705 2018-02-15
1679956502 Dean Doan Dentist 2012 North Country Club Road, Suite E, Tucson, AZ 85705 2015-07-09
1437572955 Home Is Where The Heart Is Senior Care Home Health 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 2014-02-04
1932457553 Pamela A Williamson Registered Nurse 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 2012-08-29
1104136571 Charles Tyler Upton Counselor 721 N. Fourth Ave, Tucson, AZ 85705 2010-10-19
1851629844 Francisco Antonio Sanchez Psychologist 504 E. Speedway Blvd, Tucson, AZ 85705 2009-12-02
1235466145 Maria Guadalupe Millan Contractor 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 2009-11-13
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033756358 Native Music Coalition Residential Treatment Facility, Emotionally Disturbed Children 5150 S Crazy Cat Ln, Tucson, AZ 85735 2019-12-05
1538668983 Starks Homes LLC Residential Treatment Facility, Emotionally Disturbed Children 7325 E Fayette St, Tucson, AZ 85730-2324 2018-02-12
1417349028 Intermountain Centers for Human Develoment Inc. Residential Treatment Facility, Emotionally Disturbed Children 8851 East Tanque Verde, Tucson, AZ 85749 2015-02-19
1063749521 Casa De Tucson LLC Residential Treatment Facility, Emotionally Disturbed Children 5055 W Pima Farms Rd, Tucson, AZ 85741-4736 2009-11-04
1417128950 New Beginnings Treatment Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2937 N Stone Ave, Tucson, AZ 85705-5915 2008-03-12
1417134933 Intermountain Centers for Human Development Inc. Residential Treatment Facility, Emotionally Disturbed Children 1310 N Speedway Pl, Tucson, AZ 85715-5236 2008-01-28
1538341458 New Beginnings Treatment Center, Inc. Residential Treatment Facility, Emotionally Disturbed Children 2445 N Oracle Rd, Tucson, AZ 85705-4321 2007-12-03
1467661470 Pascua Yaqui Tribe Residential Treatment Facility, Emotionally Disturbed Children 2861 W Via Hacienda, Tucson, AZ 85741-3424 2007-05-22
1477766723 La Paloma Family Services Residential Treatment Facility, Emotionally Disturbed Children 1718 N Mckinley Ave, Tucson, AZ 85712-3726 2007-05-07
1225187552 Supported Living Systems Residential Treatment Facility, Emotionally Disturbed Children 5501 E 8th St, Tucson, AZ 85711-3209 2007-01-09
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Competitor

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City TUCSON
Zip Code 85705

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Dataset Information

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.

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