Organization
VILLA MARIA CARE CENTER, LLC
Active
Organization
VILLA MARIA CARE CENTER, LLC
Active
Other names
Tucson Recovery Villa Maria
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY MCNELLIS (OWNER)
(612) 991-9062
Entity
Organization
Contact information
Practice address
4310 E GRANT RD STE A, TUCSON, AZ 85712-2607
(520) 323-9351
(520) 323-6490
Mailing address
4310 E GRANT RD, TUCSON, AZ 85712-2607
(520) 323-9351
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH5309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5309
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
03/28/2018
Last updated
09/28/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up