TUCSON RECOVERY VILLA MARIA
NPI 1154826527
Substance Abuse Rehabilitation Facility in Tucson, AZ

Active since March 28, 2018CLIA 03D2155237 · Waiver
4310 E GRANT RD STE A, TUCSON, AZ 85712(520) 323-9351(520) 323-6490 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 28, 2020, Mar 28, 2018 (2 updates tracked since 2018).

About Tucson Recovery Villa Maria NPPES

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

TUCSON RECOVERY VILLA MARIA (NPI 1154826527) is a healthcare organization registered as a substance abuse rehabilitation facility in Tucson, Arizona and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Terry Mcnellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1154826527
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameVILLA MARIA CARE CENTER, LLC
Location Address4310 E GRANT RD STE ATucson, AZ 85712-2607
Mailing Address4310 E Grant RdTucson, AZ 85712-2607 · (520) 323-9351
Fax(520) 323-6490
Organization SubpartNo
Authorized OfficialTerry McnellisOwner · (612) 991-9062
Enumeration DateMarch 28, 2018
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
NPI 1154826527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in AZ · BH5309
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4310 E GRANT RD STE A, Tucson, AZ 85712

Other Names 1

Doing Business AsTucson Recovery Villa Maria

Other Identifiers 1

OtherBH5309AZ · Arizona Department Of Health Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2155237

Tucson Recovery At Villa Maria · Tucson, AZ
Active · expires Sep 24, 2026
CLIA Number03D2155237
Laboratory TypeResidential Behav. Health
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorNicholas Bastiampillai
Laboratory Phone(520) 232-9351
Laboratory LocationTucson Recovery At Villa Maria4310 E Grant Road Unit A, Tucson, AZ 85712
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Villa Maria Care Center, LLC's NPI number?

The NPI number for Villa Maria Care Center, LLC is 1154826527. It was assigned to this organization in the NPPES registry on March 28, 2018. The provider is doing business as Tucson Recovery Villa Maria.

Where is Villa Maria Care Center, LLC located?

Villa Maria Care Center, LLC is located at 4310 E Grant Rd Ste A, Tucson, AZ 85712. The listed phone number is (520) 323-9351.

What is Villa Maria Care Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Villa Maria Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2155237) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Villa Maria Care Center, LLC was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.