ANGEL HOUSE
NPI 1417134933
Residential Treatment Facility, Emotionally Disturbed Children in Tucson, AZ
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angel House is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Angel House, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Intermountain Centers For Human Development Inc. enrolled in Medicare?
Yes. Intermountain Centers For Human Development Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Centers For Human Development Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Intermountain Centers For Human Development Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Intermountain Centers For Human Development Inc. accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and 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 6 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.
# Angel House · NPI 1417134933
Residential Treatment Facility, Emotionally Disturbed Children organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1417134933 (Entity type: Organization)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Residential Treatment Facility, Emotionally Disturbed Children · taxonomy 322D00000X
- **Legal business name:** Intermountain Centers For Human Development Inc.
- **Organization subpart:** No
- **Authorized official:** Rose Lopez, PRESIDENT AND CEO
## Practice location
- **Address:** 1310 N SPEEDWAY PL, Tucson, AZ 85715-5236
- **Phone:** (520) 731-0635
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Mental Health Counselor (2), Clinical Psychologist (1); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2020
- **Other identifiers:** Medicaid 305538 (AZ); Other BH2914 (AZ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1417134933) · Data from the CMS NPPES public registry.