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MWANGAZA RESIDENTIAL CARE LLC
NPI 1841525151
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Active since October 05, 2009
2234 E CALLE SIERRA DEL MANANTIAL, TUCSON, AZ 85706(520) 207-9283(520) 207-9283 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About MWANGAZA RESIDENTIAL CARE LLC

This page provides the complete NPI Profile along with additional information for Mwangaza Residential Care Llc, a provider established in Tucson, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1841525151 assigned on October 2009. The practitioner's primary taxonomy code is 320800000X with license number BH-3425 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jonah Kibitok Maiyo 04/05/1979 (Ceo/program Director)

NPI
1841525151 Verify this NPI
Provider Name
MWANGAZA RESIDENTIAL CARE LLC
Entity Type
Organization
Location Address
2234 E CALLE SIERRA DEL MANANTIAL TUCSON, AZ 85706
Location Phone
(520) 207-9283
Location Fax
(520) 207-9283
Mailing Address
2234 E CALLE SIERRA DEL MANANTIAL TUCSON, AZ 85706
Mailing Phone
(520) 207-9283
Mailing Fax
(520) 207-9283
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2009
Last Update Date
10-05-2009
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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, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
BH-3425
License State
AZ
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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

MR. JONAH KIBITOK MAIYO 04/05/1979

Authorized Official Title
CEO/PROGRAM DIRECTOR
Authorized Official Phone
(520) 248-1295

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Frequently Asked Questions

What is MWANGAZA RESIDENTIAL CARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1841525151, enumerated as an "organization" on October 05, 2009.

Where is the provider located?

The provider is located at 2234 E CALLE SIERRA DEL MANANTIAL TUCSON, AZ 85706 and the phone number is (520) 207-9283.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.