PIMA HOUSE
NPI 1013065416
Residential Treatment Facility, Emotionally Disturbed Children in Tucson, AZ

NPI Status: Active since January 08, 2007

Contact Information

3327 E BROADWAY BLVD
TUCSON, AZ
ZIP 85716
Phone: (520) 318-0270

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About PIMA HOUSE

This page provides the complete NPI Profile along with additional information for Pima House, a provider established in Tucson, Arizona operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1013065416 assigned on January 2007. The practitioner's primary taxonomy code is 322D00000X with license number BH-1575 (AZ). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Pima House. The authorized official of this NPI record is Dr. Richard Eck Phd (Ceo)

NPI
1013065416
Provider Legal Name
SUPPORTED LIVING SYSTEMS
Other Organization Name
PIMA HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3327 E BROADWAY BLVD TUCSON, AZ 85716
Location Phone
(520) 318-0270
Mailing Address
925 S CRAYCROFT RD TUCSON, AZ 85711
Mailing Phone
(520) 514-9888
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
BH-1575
License State
AZ
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD ECK PHD

Authorized Official Title
CEO
Authorized Official Phone
(520) 514-9888

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
434556OTHER (01)AZAHCCS PROVIDER#
BH-1575OTHER (01)AZAZ BEHAVIORAL LICENSE #

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013065416
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023061042
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 6 + 1 + 0 + 4 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1013065416 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992136808EASTER SEALS BLAKE FOUNDATION
Organization
Community Based Residential Treatment Facility, Mental Illness3327 E BROADWAY BLVD
TUCSON, AZ 85716
(520) 318-0272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013065416, enumerated in the NPI registry as an "organization" on January 08, 2007

The provider is located at 3327 E Broadway Blvd Tucson, Az 85716 and the phone number is (520) 318-0270

This medical organization specializes in Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.