ANGEL HOUSE
NPI 1417134933
Residential Treatment Facility, Emotionally Disturbed Children in Tucson, AZ

Active since January 28, 2008
1310 N SPEEDWAY PL, TUCSON, AZ 85715(520) 731-0635 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2020, Jan 8, 2020 (2 updates tracked since 2020).

About Angel House NPPES

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

ANGEL HOUSE (NPI 1417134933) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Tucson, Arizona and active in the NPI registry since January 2008. The organization lists Rose Mary Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1417134933
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameINTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
Location Address1310 N SPEEDWAY PLTucson, AZ 85715-5236
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Organization SubpartNo
Authorized OfficialRose Mary LopezPresident And Ceo · (520) 721-1887
Enumeration DateJanuary 28, 2008
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1417134933 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-2914
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.
1310 N SPEEDWAY PL, Tucson, AZ 85715

Other Names 1

Other NameAngel House

Other Identifiers 2

Medicaid305538AZ
OtherBH2914AZ · Adhs/brfl License

Accepted Insurance

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 Intermountain Centers For Human Development Inc.'s NPI number?

The NPI number for Intermountain Centers For Human Development Inc. is 1417134933. It was assigned to this organization in the NPPES registry on January 28, 2008. The provider is also known as Angel House.

Where is Intermountain Centers For Human Development Inc. located?

Intermountain Centers For Human Development Inc. is located at 1310 N Speedway Pl, Tucson, AZ 85715. The listed phone number is (520) 731-0635.

What is Intermountain Centers For Human Development Inc.'s specialty?

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

What insurance does Intermountain Centers For Human Development Inc. accept?

Health plans from Blue Cross Blue Shield of Arizona list Intermountain Centers For Human Development Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Intermountain Centers For Human Development Inc. was last updated on October 9, 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.