Angel House

LBN: Intermountain Centers For Human Development Inc.
Angel House is an health care organization with primary practice located at 1310 N Speedway Pl , Tucson AZ 85715-5236. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Intermountain Centers For Human Development Inc. can be contacted via phone (520) 731-0635, or through Lopez, Rose Mary via phone (520) 721-1887.

Contact Information

Primary practice address
1310 N Speedway Pl Tucson AZ 85715-5236
Phone: (520) 731-0635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Rose Mary MBA
Phone: (520) 721-1887

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-2914 Arizona

Profile Details

NPI number 1417134933
LBN Legal business name Intermountain Centers For Human Development Inc.
DBA Doing business as Angel House
Authorized official Lopez, Rose Mary MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Oct 9th, 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 1417134933 NPPES
Arizona MEDICAID 305538
Arizona Other BH2914

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