KOMAKO HOUSE
NPI 1073812152
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Q: What is Komako House's NPI number?

The NPI number for Komako House is 1073812152. It was assigned to this organization in the NPPES registry on March 15, 2011.

Q: What is Komako House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Komako House was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2011

3560 W FENTON WAY, TUCSON, AZ 85746(520) 272-7911 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Komako House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOMAKO HOUSE (NPI 1073812152) is a healthcare organization registered as a community based residential treatment facility, mental illness in Tucson, Arizona and active in the NPI registry since March 2011. The organization lists Jean Siaha, Director/provider, as its authorized official.

NPPES Registry Identity

NPI1073812152

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameKOMAKO HOUSE

Location Address3560 W FENTON WAYTucson, AZ 85746-2550

Mailing Address3560 W Fenton WayTucson, AZ 85746-2550

Phone(520) 272-7911

Organization SubpartNo

Authorized OfficialJean SiahaDirector/provider · (520) 272-7911

Enumeration DateMarch 15, 2011

✔ NPI 1073812152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in AZ · BH3831

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3560 W FENTON WAY, Tucson, AZ 85746

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Komako House's NPI number?

The NPI number for Komako House is 1073812152. It was assigned to this organization in the NPPES registry on March 15, 2011.

Where is Komako House located?

Komako House is located at 3560 W Fenton Way, Tucson, AZ 85746. The listed phone number is (520) 272-7911.

What is Komako House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Komako House was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.