Kiva House
LBN: Intermountain Centers For Human Development Inc.
Kiva House is an health care organization with primary practice located at 3626 E Lee St Bldg 1 , Tucson AZ 85716-3717. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty.
Intermountain Centers For Human Development Inc. can be contacted via phone (520) 319-5477, or through Lopez, Rose Mary via phone (520) 721-1887.
Contact Information
Primary practice address
3626 E Lee St Bldg 1
Tucson AZ 85716-3717
Phone: (520) 319-5477
Fax: (520) 319-5491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH-1012 | Arizona |
Profile Details
| NPI number | 1740378181 |
|---|---|
| LBN Legal business name | Intermountain Centers For Human Development Inc. |
| DBA Doing business as | Kiva House |
| Authorized official | Lopez, Rose Mary MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740378181 | NPPES |
| Arizona | MEDICAID | 199176 | |
| Arizona | Other | BH1012 |
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