OrganizationActive
Catholic Community Services of So. Az. Inc.
NPI 1780895102 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tucson, AZ
Provider details
- NPI number
- 1780895102
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Catholic Community Services of Southern Arizona, Inc.
- Organization subpart
- Yes
- Authorized official
- Karmen Johnson, Associate Director(520) 539-1263
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(98/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
21 documented practice locations
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
268 W Adams St
Tucson, AZ 85705-6534
Phone: (520) 792-1906
Fax: (520) 770-8562
Street-level locationGet directions
Mailing address
268 W Adams St
Tucson, AZ 85705-6534
Other names (DBA / former)
- Doing business as
- Community Living Program
Additional practice locations (20)
- 4175 E Fort Lowell Rd Apt 3124Tucson, AZ 85712-1080Phone: (520) 623-0344
- 2345 N Craycroft Rd Apt 109Tucson, AZ 85712-2815Phone: (520) 623-0344
- 8840 E 22nd St Apt 1Tucson, AZ 85710-7330Phone: (520) 623-0344
- 5138 E 2nd StTucson, AZ 85711-1309Phone: (520) 623-0344
- 4175 E Fort Lowell Rd Apt 3117Tucson, AZ 85712-1080Phone: (520) 623-0344
- 2345 N Craycroft Rd Apt 104Tucson, AZ 85712-2813Phone: (520) 623-0344
- 2345 N Craycroft Rd Apt 166Tucson, AZ 85712-2862Phone: (520) 623-0344
- 4175 E Fort Lowell Rd Apt 2109Tucson, AZ 85712-1065Phone: (520) 623-0344
- 4175 E Fort Lowell Rd Apt 2112Tucson, AZ 85712-1065Phone: (520) 623-0344
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.