Supported Living Systems in Tucson - Residential Treatment Facility, Emotionally Disturbed Children
Supported Living Systems - NPI 1396893707
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 1396893707. 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 | 1396893707 |
|---|---|
| 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-2615 |
|
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 |
|---|---|---|---|
| BH-2615 | AZ | AZ BEHAVIORAL LICENSE # | |
| 687824 | AZ | AHCCCS PROVIDER # |
Post Comment/ Review Below
What is the unique identification code assigned to Supported Living Systems by the Centers for Medicare & Medicaid Services?
The Supported Living Systems has been issued the NPI (National Provider Identifier) 1396893707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Supported Living Systems's physical address?
The Supported Living Systems is physically located at 925 S Craycroft Rd, in the city of Tucson, AZ, with the postal code 857117112.
What is Supported Living Systems's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Supported Living Systems is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy classification code that categorizes this area of expertise is 322D00000X.
When did Supported Living Systems receive its 1396893707 assignment?
The Supported Living Systems was assigned its 1396893707 on 2007-01-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Supported Living Systems, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Supported Living Systems, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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