KIVA HOUSE
NPI 1740378181
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Active since October 11, 2006
3626 E LEE ST BLDG 1, TUCSON, AZ 85716(520) 319-5477(520) 319-5491 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 6, 2020, Sep 18, 2019 (3 updates tracked since 2019).

About Kiva House NPPES

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

KIVA HOUSE (NPI 1740378181) is a healthcare organization registered as a community based residential treatment facility, mental illness in Tucson, Arizona and active in the NPI registry since October 2006. The organization lists Rose Mary Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1740378181
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
Location Address3626 E LEE ST BLDG 1Tucson, AZ 85716-3717
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Fax(520) 319-5491
Organization SubpartNo
Authorized OfficialRose Mary LopezPresident And Ceo · (520) 721-1887
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1740378181 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
License Licensed in AZ · BH-1012
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3626 E LEE ST BLDG 1, Tucson, AZ 85716

Other Names 1

Other NameKiva House

Other Identifiers 2

OtherBH1012AZ · State License
Medicaid199176AZ

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 1740378181. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is also known as Kiva House.

Where is Intermountain Centers For Human Development Inc. located?

Intermountain Centers For Human Development Inc. is located at 3626 E Lee St Bldg 1, Tucson, AZ 85716. The listed phone number is (520) 319-5477.

What is Intermountain Centers For Human Development Inc.'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 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.