institution
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. You can also correspond with Grace Home Assisted Living 1 through the mailing address at 2261 S QUAIL HOLLOW DR, TUCSON, AZ - 85710-7982 (mailing address contact number: 520-312-0225).

Location: 2301 S Quail Hollow Dr, Tucson, AZ, 85710-7982
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
2301 S Quail Hollow Dr
City
State
Zip
85710-7986
Phone Number
520-312-0225
Fax Number
520-207-2223
person
Provider Business Mailing Address Details
Address
2261 S Quail Hollow Dr
City
State
Zip
85710-7982
Phone Number
520-312-0225
Fax Number
520-207-2223
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
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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