Charite Home

LBN: Charite Home
Charite Home is an health care organization with primary practice located at 6057 S Avenida Caneca , Tucson AZ 85706-5073. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Charite Home can be contacted via phone (520) 721-1887, or through Munyankumburwa, Samuel via phone (520) 721-1887.

Contact Information

Primary practice address
6057 S Avenida Caneca Tucson AZ 85706-5073
Phone: (520) 721-1887
Fax: (520) 721-0069
Website:
Map and Directions
Authorized official contact:
Name: Munyankumburwa, Samuel
Phone: (520) 721-1887

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1174120703
LBN Legal business name Charite Home
DBA Doing business as
Authorized official Munyankumburwa, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 8th, 2020 - about 4 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 1174120703 NPPES
Arizona Other BH6357 BUREAU OF RESIDENTIAL FACILITY LICENSING

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