Pima House

LBN: Easter Seals Blake Foundation
Pima House is an health care organization with primary practice located at 3327 E Broadway Blvd , Tucson AZ 85716-5858. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Easter Seals Blake Foundation can be contacted via phone (520) 318-0272, or through Arendt, Marissa S via phone (520) 327-1529.

Contact Information

Primary practice address
3327 E Broadway Blvd Tucson AZ 85716-5858
Phone: (520) 318-0272
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Arendt, Marissa S
Phone: (520) 327-1529

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4428 Arizona
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-4428 Arizona

Profile Details

NPI number 1992136808
LBN Legal business name Easter Seals Blake Foundation
DBA Doing business as Pima House
Authorized official Arendt, Marissa S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Aug 3rd, 2021 - about 3 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 1992136808 NPPES
Arizona Other BH4428 AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE
Arizona Other 881681 AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE

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