AMITY FOUNDATION
NPI 1861505901
Substance Abuse Rehabilitation Facility in Tucson, AZ

NPI Status: Active since August 15, 2006

Contact Information

10500 E TANQUE VERDE RD
TUCSON, AZ
ZIP 85749
Phone: (520) 749-5980

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance

About AMITY FOUNDATION

This page provides the complete NPI Profile along with additional information for Amity Foundation, a provider established in Tucson, Arizona operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1861505901 assigned on August 2006. The practitioner's primary taxonomy code is 324500000X with license number BH-2023 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Amity Foundation. The authorized official of this NPI record is Mr. Rod Mullen (Chief Executive Officer)

NPI
1861505901
Provider Legal Name
EPIDAURUS (DBA)
Other Organization Name
AMITY FOUNDATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10500 E TANQUE VERDE RD TUCSON, AZ 85749
Location Phone
(520) 749-5980
Mailing Address
10500 E TANQUE VERDE RD TUCSON, AZ 85749
Mailing Phone
(520) 749-5980
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-15-2006
Last Update Date
02-09-2016
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
BH-2023
License State
AZ
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

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

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

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

MR. ROD MULLEN

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(520) 749-5980

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
822503MEDICARE ID-TYPE UNSPECIFIED (04)AZAHCCCS

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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.
1861505901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211001090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 0 + 1 + 0 + 9 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1861505901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932334877DR. RAYMOND WILLIAM NOVAK M.D.
Individual
Psychiatric Residential Treatment Facility10500 E TANQUE VERDE RD
TUCSON, AZ 85749
(520) 749-5980
1073154738 TONYA CLYBURN JONES
Individual
Counselor (Pastoral)10500 E TANQUE VERDE RD
TUCSON, AZ 85749
(520) 749-5980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861505901, enumerated in the NPI registry as an "organization" on August 15, 2006

The provider is located at 10500 E Tanque Verde Rd Tucson, Az 85749 and the phone number is (520) 749-5980

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

The provider might be accepting Accepts: Sanford Health Plan, 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 August 15, 2006. 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].
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