Grace Home Assisted Living 1 - Tucson, AZ

Grace Home Assisted Living 1

Attendant Care Provider in Tucson, Arizona

NPI 1760916407

Grace Home Assisted Living 1 is an Attendant Care Provider based in Tucson, AZ and is specialized in Attendant Care Provider. Grace Home Assisted Living 1 practices in Tucson, AZ. The NPI Number for Grace Home Assisted Living 1 is 1760916407 and holds a License No. AL6571H (Arizona).

The current practice location address for Grace Home Assisted Living 1 is 2301 S Quail Hollow Dr, Tucson, AZ and can be reached out via phone at 520-312-0225 and via fax at 520-207-2223.

Location: 2301 S Quail Hollow Dr, Tucson, AZ, 85710-7982

NPI Number

1760916407

Provider Name

Grace Home Assisted Living 1

Credential

Provider Entity Type

Organization

Address

2301 S Quail Hollow Dr, Tucson, AZ, 85710-7982

Phone Number

520-312-0225

Fax Number

520-207-2223

Provider Enumeration Date

04/19/2017

Last Update Date

03/13/2024

Identifier	Type	State	Issuer
95188554F13239	01	CA	MEDICAID
0301305850	01	AZ	AARP
85808889	01	AZ	MEDICAID AND MUTUAL OF OMAHA
00416712603	01	AZ	TRICARE PRIME INSURANCE
783517401	01		MEDICAID AND AARP

Address

2301 S Quail Hollow Dr

City

Tucson

State

Arizona

Zip

85710-7986

Phone Number

520-312-0225

Fax Number

520-207-2223

Address

2301 S Quail Hollow Dr

City

Tucson

State

Arizona

Zip

85710-7986

Phone Number

520-312-0225

Fax Number

520-207-2223

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

AL7454H (Arizona)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Physical Disabilities

Speciality

Taxonomy

320700000X

License No.

AL6571-H (Arizona)

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

AL6571H (Arizona)

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Type

Nursing Service Related Providers

Classification

Technician

Speciality

Attendant Care Provider

Taxonomy

3747A0650X

License No.

AL6571H (Arizona)

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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