Kachina House

LBN: Supported Living Systems
Kachina House is an health care organization with primary practice located at 5626 E 2Nd St , Tucson AZ 85711-1415. 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. Supported Living Systems can be contacted via phone (520) 750-8249, or through Eck, Richard via phone (520) 514-9888.

Contact Information

Primary practice address
5626 E 2Nd St Tucson AZ 85711-1415
Phone: (520) 750-8249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eck, Richard PHD
Phone: (520) 514-9888

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X BH-1447 Arizona

Profile Details

NPI number 1548319890
LBN Legal business name Supported Living Systems
DBA Doing business as Kachina 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548319890 NPPES
Arizona Other 492752 AHCCCS PROVIDER #
Arizona Other BH-1447 AHCCCS PROVIDER #

Popular Providers