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EVERGREEN FACILITY
NPI 1265512776
Residential Treatment Facility, Emotionally Disturbed Children in Tucson, AZ

Active since October 17, 2006
4321 S EVERGREEN AVE, TUCSON, AZ 85730(520) 750-8679(520) 750-0056 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Facility NPPES

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

EVERGREEN FACILITY (NPI 1265512776) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Tucson, Arizona and active in the NPI registry since October 2006. The organization lists David T Bradley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265512776
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLA PALOMA FAMILY SERVICES
Location Address4321 S EVERGREEN AVETucson, AZ 85730-4005
Mailing Address880 S Craycroft RdTucson, AZ 85711-7111 · (520) 750-9667 · Fax (520) 750-0056
Phone(520) 750-8679
Fax(520) 750-0056
Organization SubpartNo
Authorized OfficialDavid T BradleyCfo · (520) 750-9667
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265512776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in AZ · BH-613
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4321 S EVERGREEN AVE, Tucson, AZ 85730
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Other Names 1

Doing Business AsEvergreen Facility

Other Identifiers 1

Medicaid102822AZ

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 La Paloma Family Services's NPI number?

The NPI number for La Paloma Family Services is 1265512776. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Evergreen Facility.

Where is La Paloma Family Services located?

La Paloma Family Services is located at 4321 S Evergreen Ave, Tucson, AZ 85730. The listed phone number is (520) 750-8679.

What is La Paloma Family Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for La Paloma Family Services was last updated on August 22, 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.