Agape House

LBN: Supported Living Systems
Agape House is an health care organization with primary practice located at 4454 E 3Rd St , Tucson AZ 85711-1189. 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. Supported Living Systems can be contacted via phone (520) 320-8866, or through Eck, Richard via phone (520) 514-9888.

Contact Information

Primary practice address
4454 E 3Rd St Tucson AZ 85711-1189
Phone: (520) 320-8866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eck, Richard PHD
Phone: (520) 514-9888

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH-2719 Arizona

Profile Details

NPI number 1265581516
LBN Legal business name Supported Living Systems
DBA Doing business as Agape House
Authorized official Eck, Richard PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 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 1265581516 NPPES
Arizona Other BH-2719 AZ BEHAVIORAL LICENSE #
Arizona Other 122468 AZ BEHAVIORAL LICENSE #

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