Tucson Residence Foundation Inc.

LBN: Tucson Residence Foundation Inc.
Tucson Residence Foundation Inc. is an health care organization with primary practice located at 115 S Sherwood Village Dr , Tucson AZ 85710-4142. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Tucson Residence Foundation Inc. can be contacted via phone (520) 790-9144, or through Bennetti, Robert via phone (520) 790-9144.

Contact Information

Primary practice address
115 S Sherwood Village Dr Tucson AZ 85710-4142
Phone: (520) 790-9144
Fax: (520) 790-9290
Website:
Map and Directions
Authorized official contact:
Name: Bennetti, Robert
Phone: (520) 790-9144

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1669041240
LBN Legal business name Tucson Residence Foundation Inc.
DBA Doing business as
Authorized official Bennetti, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2021
Last updated Jun 18th, 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 1669041240 NPPES
Arizona MEDICAID 017758

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