COMMUNITY LIVING PROGRAM
NPI 1780895102
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tucson, AZ

Active since May 25, 2007
268 W ADAMS ST, TUCSON, AZ 85705(520) 792-1906(520) 770-8562 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2024, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Community Based Residential Treatment Fa...

About COMMUNITY LIVING PROGRAM

This page provides the complete NPI Profile along with additional information for Community Living Program, a provider established in Tucson, Arizona operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1780895102 assigned on May 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Community Living Program. The authorized official of this NPI record is Karmen Johnson (Associate Director)

NPI
1780895102 Verify this NPI
Provider Legal Name
CATHOLIC COMMUNITY SERVICES OF SO. AZ. INC.
Other Organization Name
COMMUNITY LIVING PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
268 W ADAMS ST TUCSON, AZ 85705
Location Phone
(520) 792-1906
Location Fax
(520) 770-8562
Mailing Address
268 W ADAMS ST TUCSON, AZ 85705
Mailing Phone
(520) 792-1906
Mailing Fax
(520) 770-8562
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-25-2007
Last Update Date
06-20-2024
Code Navigator

Location Map

Secondary Locations

  • 7015 E Redbud Rd
    Tucson, AZ 85715
    (520) 623-0344
  • 8840 E 22nd St Apt 1
    Tucson, AZ 85710
    (520) 623-0344
  • 8840 E 22nd St Apt 2
    Tucson, AZ 85710
    (520) 623-0344
  • 5138 E 2nd St
    Tucson, AZ 85711
    (520) 623-0344
  • 3544 E 5th St
    Tucson, AZ 85716
    (520) 623-0344
  • 2345 N Craycroft Rd Apt 220
    Tucson, AZ 85712
    (520) 623-0344
  • 2345 N Craycroft Rd Apt 166
    Tucson, AZ 85712
    (520) 623-0344
  • 2345 N Craycroft Rd Apt 104
    Tucson, AZ 85712
    (520) 623-0344
  • 2345 N Craycroft Rd Apt 108
    Tucson, AZ 85712
    (520) 623-0344
  • 2345 N Craycroft Rd Apt 109
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3124
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3117
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 2109
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 2112
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 2115
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3118
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3119
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3119
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3120
    Tucson, AZ 85712
    (520) 623-0344
  • 4175 E Fort Lowell Rd Apt 3123
    Tucson, AZ 85712
    (520) 623-0344

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
AZ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KARMEN JOHNSON

Authorized Official Title
ASSOCIATE DIRECTOR
Authorized Official Phone
(520) 539-1263

Reviews for COMMUNITY LIVING PROGRAM

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Case Management
268 W ADAMS ST
TUCSON, AZ 85705
Clinic/Center (Augmentative Communication)
268 W ADAMS ST
TUCSON, AZ 85705
Voluntary or Charitable
268 W ADAMS ST
TUCSON, AZ 85705
Community/Behavioral Health
268 W ADAMS ST
TUCSON, AZ 85705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780895102, enumerated as an "organization" on May 25, 2007.

The provider is located at 268 W ADAMS ST TUCSON, AZ 85705 and the phone number is (520) 792-1906.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.