Supported Living Systems in Tucson - Residential Treatment Facility, Emotionally Disturbed Children
Supported Living Systems - NPI 1013065416
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 1013065416. 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 | 1013065416 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| 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-1575 |
|
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 |
|---|---|---|---|
| 434556 | AZ | AHCCS PROVIDER# | |
| BH-1575 | AZ | AZ BEHAVIORAL LICENSE # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Supported Living Systems?
The Supported Living Systems has been issued the NPI (National Provider Identifier) 1013065416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Supported Living Systems is physically located?
The Supported Living Systems is physically situated at the following address: 925 S Craycroft Rd, Tucson, AZ, 857117112.
What is Supported Living Systems's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Supported Living Systems is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013065416 to Supported Living Systems?
The Supported Living Systems received its 1013065416 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to Supported Living Systems most recently updated or refreshed?
The details pertaining to the Supported Living Systems, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.