OrganizationActive
Catholic Community Services of Southern Arizona
NPI 1316263643 · Custodial Care Facility · Tucson, AZ
Provider details
- NPI number
- 1316263643
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Catholic Community Services of Southern Arizona
- Organization subpart
- Yes
- Authorized official
- Mary Anne Bogosoff, Program Director(520) 770-8517
- License
- BH914 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
140 W Speedway Blvd
Suite 130
Tucson, AZ 85705-7686
Phone: (520) 623-0344
Fax: (520) 770-8578
Street-level locationGet directions
Mailing address
5138 E 2nd St
Tucson, AZ 85711-1309
Other names (DBA / former)
- Doing business as
- Merilac Lodge
Registry dates
- Enumerated
- 2010-04-12
- Last updated
- 2010-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.