1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

MWANGAZA RESIDENTIAL CARE LLC
NPI 1396439667
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Active since June 08, 2023
3410 W RUTHANN RD, TUCSON, AZ 85745(520) 248-1295(888) 977-2729 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mwangaza Residential Care Llc NPPES

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

MWANGAZA RESIDENTIAL CARE LLC (NPI 1396439667), doing business as Mwangaza Residential Care, is a healthcare organization registered as a community based residential treatment facility, mental illness in Tucson, Arizona and active in the NPI registry since June 2023. The organization lists Jonah Kibitok Maiyo, Owner/ceo/pro. Dir, as its authorized official.

NPPES Registry Identity

NPI1396439667
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMWANGAZA RESIDENTIAL CARE LLC
Location Address3410 W RUTHANN RDTucson, AZ 85745-8749
Mailing Address8618 N Western Juniper TerTucson, AZ 85743-7132 · (520) 248-1295 · Fax (888) 977-2729
Phone(520) 248-1295
Fax(888) 977-2729
Organization SubpartYes
Authorized OfficialJonah Kibitok MaiyoOwner/ceo/pro. Dir · (520) 207-9283
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1396439667 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
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3410 W RUTHANN RD, Tucson, AZ 85745
Open in Google Maps ↗

Other Names 1

Former Legal Business NameMwangaza Residential Care

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 Mwangaza Residential Care LLC's NPI number?

The NPI number for Mwangaza Residential Care LLC is 1396439667. It was assigned to this organization in the NPPES registry on June 8, 2023. The provider was formerly known as Mwangaza Residential Care.

Where is Mwangaza Residential Care LLC located?

Mwangaza Residential Care LLC is located at 3410 W Ruthann Rd, Tucson, AZ 85745. The listed phone number is (520) 248-1295.

What is Mwangaza Residential Care LLC'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 Mwangaza Residential Care LLC was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.