Catalina Village

LBN: Catalina Village Assisted Living Lp
Catalina Village is an health care organization with primary practice located at 5324 E 1St St , Tucson AZ 85711-7303. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Catalina Village Assisted Living Lp can be contacted via phone (520) 327-4010, or through Fish, Tracy M via phone (602) 368-8203.

Contact Information

Primary practice address
5324 E 1St St Tucson AZ 85711-7303
Fax: (520) 327-9954
Website:
Authorized official contact:
Name: Fish, Tracy M

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 314484 Arizona

Profile Details

NPI number 1144374745
LBN Legal business name Catalina Village Assisted Living Lp
DBA Doing business as Catalina Village
Authorized official Fish, Tracy M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144374745 NPPES
Arizona MEDICAID 528391

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