Supported Living Systems in Tucson - Residential Treatment Facility, Emotionally Disturbed Children
Supported Living Systems - NPI 1093864340
Supported Living Systems is a Residential Treatment Facility, Emotionally Disturbed Children in Tucson, Arizona. Supported Living Systems practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Supported Living Systems is 1093864340. The last update date is 2020-08-22.
Supported Living Systems's current location address is 925 S Craycroft Rd, Tucson, Arizona. You can contact this provider via phone number 5205149888 and fax number 5205149878. The mailing address for Supported Living Systems is 925 S Craycroft Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supported Living Systems |
|---|---|
| Address | 925 S Craycroft Rd, Tucson, Arizona |
| Phone Number | 5205149888 |
| Fax Number | 5205149878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Eck Richard |
| Credentials | PHD |
| Telephone Number | 5205149888 |
NPI Number Detail
| NPI Number | 1093864340 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 925 S Craycroft Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857117112 |
| Phone Number | 5205149888 |
| Fax Number | 5205149878 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH-1883 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 593493 | AZ | AHCCS PROVIDER # | |
| BH-1883 | AZ | AZ BEHAVIORAL LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Supported Living Systems by the Centers for Medicare & Medicaid Services (CMS)?
The Supported Living Systems has been assigned the NPI (National Provider Identifier) 1093864340. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Supported Living Systems's facilities are situated?
The facilities of Supported Living Systems are physically located at the following address: 925 S Craycroft Rd, Tucson, AZ, 857117112.
What is the Supported Living Systems's specialty and taxonomy code?
The Supported Living Systems's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date was the 1093864340 assigned to Supported Living Systems?
The Supported Living Systems was issued its 1093864340 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Supported Living Systems's details last updated?
The information pertaining to the Supported Living Systems, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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