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NPI 1134676166 · Mental Illness Intermediate Care Facility · Tucson, AZ
Provider details
- NPI number
- 1134676166
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Embree, Administrator(480) 267-6914
- License
- BH4977 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8784 E Desert Lupine Pl
Tucson, AZ 85715-5911
Phone: (480) 267-6914
Fax: (520) 344-8892
Street-level locationGet directions
Mailing address
994 S Harrison Rd
Tucson, AZ 85748-6608
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2016-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.